Use of communication tool within electronic medical record to improve primary nonadherence

Journal of the American Pharmacists Association : JAPhA
Daniel E Kerner, Emily L Knezevich

Abstract

The primary objective of this study was to determine if an online reminder decreased the rate of primary nonadherence for antihypertensive medications in patients seen in 2 primary care clinics in Omaha, NE. The secondary objectives were to determine if patients receiving the intervention achieved lower blood pressure values at follow-up visits and to determine if the intervention decreased the number of days between prescribing and prescription pick-up. A report was generated in an electronic health record to identify patients prescribed a new antihypertensive medication from a physician at one of the primary care clinics. Patients that failed to pick up this new prescription from the pharmacy within 7 days were sent an electronic reminder via an online patient portal. A baseline comparator group was created with the use of retrospective chart reviews for the 6 months before prospective data collection. Primary nonadherence rate and blood pressure values at follow-up visits were compared between the prospective and baseline comparator groups. The primary nonadherence rate decreased from 65.5% to 22.2% when comparing the baseline and prospective groups, respectively. The mean days to prescription pick-up decreased from 24.5 to ...Continue Reading

Citations

May 3, 2018·Healthcare Management Forum·Bobby Gheorghiu, Seema Nayani
Apr 4, 2019·International Journal of Clinical Practice·McVin Hua Heng CheenJulian Thumboo
May 16, 2020·International Journal of Environmental Research and Public Health·Carles Vilaplana-CarnereroMaria Rubio-Valera
May 16, 2021·Journal of Human Hypertension·Catherine E CookeSadie Peters

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