Medication Synchronization Programs Improve Adherence To Cardiovascular Medications And Health Care Use

Health Affairs
Alexis A KrummeNiteesh K Choudhry

Abstract

Medication synchronization programs based in pharmacies simplify the refill process by enabling patients to pick up all of their medications on a single visit. This can be especially important for improving medication adherence in patients with complex chronic diseases. We evaluated the impact of two synchronization programs on adherence, cardiovascular events, and resource use among Medicare beneficiaries treated between 2011 and 2014 for two or more chronic conditions-at least one of which was hypertension, hyperlipidemia, or diabetes. Among nearly 23,000 patients matched by propensity score, the mean proportion of days covered (a measure of medication adherence) for the control group of patients without a synchronization program was 0.84 compared to 0.87 for synchronized patients-a gain of 3 percentage points. Adherence improvement in synchronized versus control patients was three times greater in patients with low baseline adherence, compared to those with higher baseline adherence. Rates of hospitalization and emergency department visits and rates of outpatient visits were 9 percent and 3 percent lower in the synchronized group compared to the control group, respectively, while cardiovascular event rates were similar. Sync...Continue Reading

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Citations

Mar 7, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Chelsea RenfroKenneth C Hohmeier
May 29, 2020·Journal of Managed Care & Specialty Pharmacy·Benjamin Y UrickJoel F Farley
Sep 18, 2020·International Journal of Environmental Research and Public Health·Macarius M DonneyongDarryl B Hood
May 26, 2018·JAMA Internal Medicine·Julie C Lauffenburger, Niteesh K Choudhry
Aug 19, 2020·BMC Endocrine Disorders·Julie C LauffenburgerNiteesh K Choudhry
Jul 3, 2019·Pharmacy : Journal of Pharmacy, Education and Practice·Matthew WitryBrahmendra Reddy Viyyuri
May 29, 2020·Journal of Managed Care & Specialty Pharmacy·Brian Nightengale
Oct 20, 2020·JAMA Network Open·Julie C LauffenburgerNiteesh K Choudhry
Feb 20, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Pamela Schweitzer, Mark Atalla
Mar 2, 2021·Journal of Managed Care & Specialty Pharmacy·Benjamin Y UrickStefanie P Ferreri
Aug 18, 2020·Progress in Cardiovascular Diseases·Ileana L PiñaJanay Johnson
Nov 26, 2020·Research in Social & Administrative Pharmacy : RSAP·Chelsea P RenfroStefanie P Ferreri
Oct 8, 2021·Hypertension·Niteesh K ChoudhryUNKNOWN American Heart Association Council on Hypertension; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Ca

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