Prescription patterns for children with juvenile idiopathic arthritis in Michigan Medicaid: a comparison by prescriber type.

Journal Article (Journal Article)

BACKGROUND: Due to a limited number and disparate distribution of pediatric rheumatologists in the US, a variety of physician types provide care to children with rheumatologic diseases. However, little is known about how that care may differ across prescribing physician groups. Our objective was to compare medication claims for children with juvenile idiopathic arthritis (JIA) by type of prescribing physician. METHODS: We performed a retrospective cohort study of children with JIA using Michigan Medicaid data for 7/1/2005-6/30/2007, employing descriptive and bivariate analyses by age, medication type, and prescriber type. RESULTS: Among 397 children, there was no difference in the frequency of medication claims for children with internist versus pediatric rheumatologist prescribers. Children with non-rheumatologist prescribers were less likely to have claims for disease modifying anti-rheumatic drugs (DMARDs) and biologic agents. CONCLUSION: Differential use of DMARDs and biologic agents by rheumatologists indicates the importance of referring children with JIA for specialty care.

Full Text

Duke Authors

Cited Authors

  • Riebschleger, MP; Van Mater, HA; Cohn, LM; Clark, SJ

Published Date

  • 2014

Published In

Volume / Issue

  • 12 /

Start / End Page

  • 38 -

PubMed ID

  • 25228851

Pubmed Central ID

  • PMC4164797

International Standard Serial Number (ISSN)

  • 1546-0096

Digital Object Identifier (DOI)

  • 10.1186/1546-0096-12-38


  • eng

Conference Location

  • England