Using outpatient prescription claims to evaluate medication adherence in an acute myocardial infarction population
Laura A Noirot1, Richard Reichley, Wm Claiborne Dunagan
1Washington University School of Medicine.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|June 17, 2006
Insights
This study describes patient medication adherence after hospital discharge for coronary artery disease. Electronic prescription data reveals adherence patterns following acute myocardial infarction care.
Area of Science:
- Cardiology
- Health Informatics
- Pharmacoeconomics
Background:
- Physician adherence to secondary prevention guidelines after acute myocardial infarction (AMI) improves with computerized alerts and academic detailing.
- Patient medication adherence post-hospital discharge has remained an understudied area.
Purpose of the Study:
- To describe medication adherence in a coronary artery disease (CAD) population after hospital discharge.
- To leverage electronic outpatient prescription claims data for adherence assessment.
Main Methods:
- Utilized electronic outpatient prescription claims data.
- Analyzed medication adherence patterns in patients with coronary artery disease.
Main Results:
- Characterized medication adherence in a post-discharge CAD population.
- Provided insights into real-world prescription refill behavior.
Conclusions:
- Electronic claims data offers a valuable method for assessing patient medication adherence.
- Understanding post-discharge adherence is crucial for optimizing secondary prevention in CAD patients.
Abstract:
We have previously shown that using computerized alerts and academic detailing results in significant improvement in physician adherence to secondary prevention guidelines for acute myocardial infarction. However, information about patient medication adherence after hospital discharge was not previously available. Using electronic outpatient prescription claims data, medication adherence for a coronary artery disease population is described.
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