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A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

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Evaluation of a refill synchronization program in two community pharmacies.

David F Blackburn, David Tran, Courtney Quiring

Journal of the American Pharmacists Association : Japha

|October 11, 2016

Summary

Medication adherence improved after enrolling in a refill synchronization program, with optimal adherence rising from 85% to 93%. This suggests voluntary participants have low nonadherence risk, potentially overestimating program benefits.

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Area of Science:

Pharmacy Practice
Health Outcomes Research

Background:

Medication adherence is crucial for treatment success.
Refill synchronization programs aim to improve adherence by aligning medication refill dates.

Purpose of the Study:

To evaluate the impact of a refill synchronization program on medication adherence.
To determine changes in the proportion of days covered (PDC) before and after program enrollment.

Main Methods:

Retrospective analysis of medication adherence in 2 pharmacies.
Included patients receiving ≥2 medications from 15 classes within 6 months of enrollment.
Measured adherence (PDC ≥80%) and refill consolidation over 6 months pre- and post-enrollment.

Main Results:

Optimal adherence increased from 85% to 93% (P <0.01) among 68 analyzed patients.
The proportion of patients maintaining optimal adherence to all medications rose from 60% to 83% (P <0.01).

Conclusions:

Voluntary participants in refill synchronization programs exhibit high baseline adherence.
The observed benefits of these programs may be overestimated due to the low-risk nature of participants.