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Adherence and persistence associated with an appointment-based medication synchronization program.

David A Holdford, Timothy J Inocencio

    Journal of the American Pharmacists Association : Japha
    |November 5, 2013
    PubMed
    Summary

    Appointment-based medication synchronization (ABMS) improved medication adherence and persistence for chronic disease patients in community pharmacies. ABMS significantly increased adherence rates and reduced the likelihood of patients discontinuing their medications over one year.

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    Area of Science:

    • Pharmacy Practice
    • Health Outcomes Research

    Background:

    • Medication adherence and persistence are crucial for managing chronic diseases.
    • Community pharmacy programs can play a role in improving patient adherence.

    Purpose of the Study:

    • To evaluate the impact of an appointment-based medication synchronization (ABMS) program on medication adherence and persistence.
    • To compare outcomes between patients in an ABMS program and those receiving usual care.

    Main Methods:

    • A quasiexperimental study was conducted in rural Midwestern US pharmacies.
    • Patients receiving at least two refills for specific chronic disease medications were included.
    • One-year adherence (proportion of days covered) and nonpersistence rates were compared between ABMS and control groups.

    Main Results:

    • Patients in the ABMS program demonstrated significantly higher adherence rates (66.1%–75.5%) compared to control patients (37.0%–40.8%).
    • ABMS patients had 3.4 to 6.1 times greater odds of adherence.
    • Control patients were 52%–73% more likely to discontinue their chronic medications over one year.

    Conclusions:

    • An appointment-based medication synchronization program in community pharmacies is associated with improved medication adherence.
    • ABMS programs effectively reduce the likelihood of patients discontinuing chronic medications.