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Related Experiment Videos

Community Pharmacy-Based Inducement Programs Associated With Better Medication Adherence: A Cohort Study.

Scot H Simpson1, Mu Lin1, Dean T Eurich1

  • 11 University of Alberta, Edmonton, AB, Canada.

The Annals of Pharmacotherapy
|April 5, 2017
PubMed
Summary

Pharmacy inducement programs improve medication adherence but do not directly impact health outcomes like acute coronary syndrome (ACS). These programs encourage patients to continue statin therapy, reducing discontinuation rates.

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Area of Science:

  • Cardiovascular Health
  • Pharmaceutical Sciences
  • Health Services Research

Background:

  • Pharmacy inducement programs aim to enhance customer loyalty.
  • The clinical impact of these patient incentive programs on medication adherence and health outcomes remains largely unexamined.

Purpose of the Study:

  • To investigate the association between the utilization of pharmacy inducement programs, adherence to statin therapy, and subsequent health outcomes.
  • To determine if these programs influence medication discontinuation and the risk of acute coronary syndrome (ACS).

Main Methods:

  • A retrospective cohort study of new statin users in Alberta, Canada, from April 2008 to March 2014.
  • Group assignment was based on pharmacy type (with or without inducement programs) for statin dispensations within the first year.
Keywords:
acute coronary syndromehydroxymethylglutaryl coenzyme A reductase inhibitormedication adherencepharmacy inducement program

Related Experiment Videos

  • Outcomes included statin discontinuation, and hospitalizations or deaths due to ACS, analyzed using multivariable regression.

    • Main Results:

    • Inducement program participants showed significantly lower statin discontinuation rates (28.9%) compared to non-participants (31.4%), with an adjusted odds ratio of 0.88.
    • The risk of an acute coronary syndrome (ACS) event was not significantly different between the groups (adjusted hazard ratio = 1.00).
    • Discontinuing statin therapy, regardless of program participation, was linked to a higher risk of ACS (adjusted hazard ratio = 1.27).

    Conclusions:

    • Pharmacy inducement programs are associated with improved medication adherence.
    • These programs do not appear to directly influence the risk of major health outcomes such as ACS.
    • Focusing on adherence is crucial, as statin discontinuation increases ACS risk.