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Telepharmacy and medication adherence in urban areas
Journal of the American Pharmacists Association : Japha
|November 28, 2020
Summary
Telepharmacy use was linked to lower medication adherence for statins and ACEs/ARBs compared to traditional pharmacies. However, adherence for noninsulin diabetes medications was similar, suggesting varied impacts across drug classes.
Area of Science:
- Health Services Research
- Pharmacy Practice
- Medication Adherence
Background:
- Telepharmacies use telecommunication to dispense medications, aiming to improve access and address pharmacy closures.
- These services are proposed as a solution for medication access in underserved urban areas.
Purpose of the Study:
- To compare medication adherence between patients using telepharmacies and traditional pharmacies.
- To investigate adherence variations across different medication classes.
Main Methods:
- A retrospective cohort study analyzed dispensing records from a telepharmacy and a traditional pharmacy in Chicago (2016-2018).
- Adherence was assessed for statins, ACEs/ARBs, and NIDMs using a 12-month proportion of days covered (>80%).
- Logistic regression adjusted for demographics and prescription characteristics evaluated the association between telepharmacy use and adherence.
Main Results:
- Telepharmacy users showed lower adherence to statins (37.6% vs. 54.3%) and ACEs/ARBs (41.4% vs. 56.5%) compared to traditional pharmacy users.
- Medication adherence for NIDMs was comparable between telepharmacy and traditional pharmacy users (65.5% vs. 60.1%).
- Sensitivity analyses confirmed these findings, including analyses of new versus continuing users.
Conclusions:
- Telepharmacy use is associated with reduced medication adherence for certain drug classes in urban settings.
- Further research is recommended to explore complementary interventions, like extended hours or delivery, to enhance telepharmacy effectiveness.
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