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Patient behavior patterns regarding prescription refills.

R M Schulz, J P Gagnon

    Contemporary Pharmacy Practice
    |February 5, 1983
    PubMed
    Summary
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    Higher drug prices and certain categories like tranquilizers correlate with better medication adherence, indicated by a higher Drug Possession Ratio (DPR). This suggests cost and drug type influence refill success.

    Area of Science:

    • Pharmacoeconomics
    • Health Services Research
    • Medication Adherence

    Background:

    • Patient adherence to prescription medication is crucial for treatment efficacy.
    • Factors influencing the ability of patients to obtain prescription refills require further investigation.

    Purpose of the Study:

    • To investigate the relationship between prescription drug characteristics and patient refill adherence.
    • To identify key factors associated with a patient's failure to obtain authorized prescription refills.

    Main Methods:

    • A two-stage sampling methodology was employed, selecting pharmacies and then prescriptions.
    • A total of 1,058 prescriptions were analyzed to calculate the Drug Possession Ratio (DPR).
    • Statistical analysis examined associations between DPR, drug price, drug category, and prescription details.

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    Main Results:

    • The Drug Possession Ratio (DPR) was significantly associated with drug price and drug category (p < 0.05).
    • More expensive medications showed a higher DPR, indicating better adherence.
    • Tranquilizers, antidepressants, and sedative hypnotics had high DPRs, unlike antihistamines and decongestants.

    Conclusions:

    • Drug price and category are significant predictors of prescription refill adherence.
    • Medications for mental health conditions demonstrated higher adherence rates compared to those for allergies.