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Medication nonadherence and its relation to financial restriction.
W Paris1, S Dunham, A Sebastian
1Integris Oklahoma Transplantation Institute, Oklahoma City, Fairview-University Medical Center, Minneapolis, Minn., CJ, USA.
Journal of Transplant Coordination : Official Publication of the North American Transplant Coordinators Organization (NATCO)
|March 7, 2000
Summary
Patient financial challenges significantly impact organ transplant medication adherence. A dedicated program providing medication access support reduced nonadherence rates from 25% to 10% in liver transplant recipients.
Area of Science:
- Transplant medicine
- Health services research
Background:
- Patient nonadherence is a critical factor in organ transplant candidate selection.
- Limited data exist on the link between financial difficulties and posttransplant medication nonadherence.
- Medication nonadherence is more prevalent in recipients lacking insurance and relying on public assistance programs.
Purpose of the Study:
- To assess the impact of a formalized outpatient pharmacy program on posttransplant medication adherence.
- To determine if improved access to posttransplant medications reduces nonadherence rates.
Main Methods:
- A survey was conducted with 50 consecutive liver transplant recipients in an outpatient clinic.
- The study compared adherence rates before and after the implementation of a drug program with a dedicated medication counselor.
- The program focused on helping recipients secure financial resources for pre- and posttransplant medications.
Main Results:
- Medication nonadherence rates decreased significantly from 25% to 10% (P < .01) after the program's implementation.
- Recipients in the program showed improved adherence compared to those transplanted prior to its development.
- Financial restrictions were identified as a barrier to medication adherence.
Conclusions:
- A formalized program offering guidance and financial support for medications can significantly improve medication adherence in organ transplant recipients.
- Addressing financial barriers is crucial for optimizing medication adherence and patient outcomes post-transplantation.
- Integrated pharmacy services, including medication counseling, are effective in enhancing posttransplant care.