"Who receives statins? Variations in physicians’ prescribing patterns for patients with coronary heart disease, dyslipidemia, and diabetes"

Our objective is to estimate the extent to which clinical and non-clinical factors are associated with physicians’ prescribing patterns for statins. The data are from the National Ambulatory Medical Care Survey for the period 1992 through 2004. The three samples examined included more than 14,000 patients who were diagnosed with coronary heart disease, high cholesterol, or diabetes, individuals who are most likely to benefit from being prescribed a statin drug. Using a multinomial logit framework, we find disparities in prescribing patterns based on non-clinical factors. Namely, whites and patients who have private insurance are more likely to be prescribed a statin than nonwhites and those with public insurance. Also, even though a large increase occurred in the uptake of statins over the period 1992 to 2004, our results for 2004 show that only about 50 percent of patients diagnosed with coronary heart disease were prescribed a statin. Because coronary heart disease is the leading cause of death in the U.S. and currently is estimated to cost over $150 billion annually in the U.S. in direct and indirect costs, observed differences in prescribing patterns along these dimensions is troubling and should be part of discussions dealing with health care reform.Pharmaceuticals; Statins; Equity in Physician Prescribing Patterns; Insurance

The Ursinus Weekly, May 27, 1904

Co-eds a factor in college life • Frances J. Clamer • Church college and white cuffs • John Brown • Baseball • The supplement • Supper of the Historical-Political group • War • Schaff society • Senior responsibility • Among the co-eds • Baseball season • Discussion of current events • A prof\u27s dreamhttps://digitalcommons.ursinus.edu/weekly/3053/thumbnail.jp

The Ursinus Weekly, March 4, 1904

Freshmen Declamation Contest • Jubilee convention • College world • Alumniana • Schaff society • YMCA • Zwinglian debate • Academy Literary Society • More junior themes • Seminary notes • Prizes for economic essays • More minstrels • Leap-year party • Gym exhibitionhttps://digitalcommons.ursinus.edu/weekly/3041/thumbnail.jp

The Ursinus Weekly, May 13, 1904

Ode to the old field • Ursinus songs • Dance at Glenwood • College world • The automobile • Resume of the year • Zwinglian Literary Society • Track team • The real world • Schaff society • Alumni notes • The Northfield Conference 1904 • Reminiscent • To Mayhttps://digitalcommons.ursinus.edu/weekly/3051/thumbnail.jp

The Ursinus Weekly, April 8, 1904

YMCA • Baseball • Ursinus Union paper: Pennsylvania under William Penn, 1681-1718 • Marcus Aurelius and stoicism • Alumni • College doings • Minstrel notes • A neglected subject • Staff election • The Rhodes scholarship • H. H. Farnsler, senior man at Medico-Chi • YMCA of Monoca • Trombone solo, G flathttps://digitalcommons.ursinus.edu/weekly/3046/thumbnail.jp

The Ursinus Weekly, March 11, 1904

Lecture • Report of field house committee • Zwinglian program • Sermon • De Alumnis • Professor Chandler\u27s lecture • Schaff society • College doings • YMCA service • Dickinson College football banquet • Bluffing as a fine art • College friendship • Ruby \u2705 • Prep school • Academy Literary Society • March • Minstrel program • Mr. Bob and The Irish Tutorhttps://digitalcommons.ursinus.edu/weekly/3042/thumbnail.jp

The Ursinus Weekly, February 26, 1904

Gym exhibition • Themes for junior essays and orations • Freshmen Declamation Contest • Co-eds oratorical association • In distant colleges • Junior supper • Alumni breezes • Academy Literary Society • YMCA service • Roasts • Zwinglian program • Schaff program • Minstrelsy leftovers • Prepdomhttps://digitalcommons.ursinus.edu/weekly/3040/thumbnail.jp

The Ursinus Weekly, March 18, 1904

Brief account of the career of Rev. H. T. Spangler, D. D. • YMCA service • Lecture • Zwinglian debate • Schaff society • Baseball • Academy Literary Society • De Alumnis • Subjects for themes in education • Seminary notes • Strolling • A minstrel medley • Prepdom • Progress • Pennsylvania Intercollegiate Oratorical Contest • College doingshttps://digitalcommons.ursinus.edu/weekly/3043/thumbnail.jp

The Ursinus Weekly, April 22, 1904

Schaff society • Union papers: The Education of a Roman Boy; Goethe\u27s Faust • Baseball • The narrow outlook • Board of Control of the Ursinus Weekly • Supplement • Zwinglian society • Academy society • Alumni • YMCAhttps://digitalcommons.ursinus.edu/weekly/3048/thumbnail.jp