Appendix Table A1.
Communication Variables, Source, Range, and Reliability.
| Variable | Range | Reliability ICC |
|---|---|---|
| Cost Discussion and Initiator | ||
| Cost Discussion Occurred | 1=yes; 0=no | 0.94 |
| Initiator of Cost Discussion | 1=Physician 2=Patient |
1.0 |
| Overall Medication and Other Cost Discussion | ||
| Medication Cost Discussed | 1=yes; 0=no | 0.94 |
| Patient Indicates Cost is a Problem | 1=yes; 0=no | 0.88 |
| Provider Behavior | ||
| Physician Asks about a Medication Cost Problem | 1=yes; 0=no | 1.0 |
| Physician Proposes a Solution to Potential Cost Problem | 1=yes; 0=no | 0.77 |
| Physician Recommends Patient Work with Pharmacist to Lower Medication Cost | 1=yes; 0=no | 1.0 |
| Physician Asks How Much Patient is Paying for Medications | 1=yes; 0=no | 100% agreement* |
| Physician Recommends Patient Try 3-Month Supply to Reduce Cost | 1=yes; 0=no | 1.0 |
| Patient Behavior | ||
| Patient Changes Medication Regime due to Cost Problem | 1=yes; 0=no | 0.79 |
| Patient Discusses Coping Strategies Used in the Past to Deal with Cost Problems | 1=yes; 0=no | 1.0 |
| Insurance and Drug Cost | ||
| Health and/or Prescription Drug Insurance Discussed | 1=yes; 0=no | 0.93 |
| Coinsurance and/or Copayment is Discussed | 1=yes; 0=no | 0.88 |
| Medication Assistance Programs Discussed | 1=yes; 0=no | 1.0 |
| Four Dollar Generics Discussed | 1=yes; 0=no | 1.0 |
| Laser is Discussed as a Solution to a Medication Cost Problem | 1=yes; 0=no | 100% agreement* |
| Samples | ||
| Patient Requests Samples | 1=yes; 0=no | 100% agreement* |
| Physician Provides Samples | 1=yes; 0=no | 0.91 |
| Physician Discusses Being Unable to Provide Samples | 1=yes; 0=no | 100% agreement* |
| Medication Discussion | ||
| Term Brand or Generic is Used | 1=yes; 0=no | 1.0 |
| Physician Initiates Discussion of Brand or Generic | 1=yes; 0=no | 0.90 |
| Physician Explains Difference Between Brand and Generic | 1=yes; 0=no | 0.79 |
| Patient Expresses Confusion Concerning Brand versus Generic | 1=yes; 0=no | 1.0 |
| Physician Says Generic isn’t Available | 1=yes; 0=no | 0.79 |
| Physician Offers to Write Prescription for Generic | 1=yes; 0=no | 0.85 |
| Physician Asks if Patient has a Preference for Generic or Brand | 1=yes; 0=no | 1.0 |
| Patient Expresses Preference for Generic | 1=yes; 0=no | 1.0 |
| Patient Expresses Preference for Brand | 1=yes; 0=no | 1.0 |
*
There was 100% agreement that the variable did not occur in the transcripts that were double-coded