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The Impact of Medication Synchronization on Proportion of Days Covered within the Pediatric Setting

Brooke E Maletic1, Alex Swick1, Leanne Murray2

  • 1From the Department of Pharmacy, Nationwide Children's Hospital, Columbus, Ohio.

Pediatric Quality & Safety
|April 4, 2024
PubMed

Insights

Medication synchronization significantly improved adherence and reduced pharmacy visits for pediatric patients. This service enhances medication management and patient outcomes in children.

Area of Science:

  • Pediatric Pharmacy Practice
  • Quality Improvement in Healthcare
  • Medication Adherence Research

Background:

  • Poor medication adherence in pediatric patients leads to worsened disease, increased mortality, and significant healthcare costs.
  • Medication synchronization is a proven strategy to improve adherence in adults, but its pediatric application requires further study.
  • This project addresses the need to evaluate medication synchronization within a pediatric setting.

Purpose of the Study:

  • To implement and assess a medication synchronization service for pediatric patients.
  • To evaluate the impact of medication synchronization on medication adherence rates.
  • To measure changes in pharmacy utilization and assess patient and staff satisfaction.

Main Methods:

  • A single-center, prospective quality improvement project was conducted at Nationwide Children's Hospital.
  • Medication adherence was measured using Proportion of Days Covered (PDC) 90 days pre- and post-implementation.
  • Pharmacy trips and patient/staff satisfaction were assessed post-implementation.

Main Results:

  • A statistically significant increase in PDC was observed post-implementation (Difference: 3.60, P = 0.001).
  • A statistically significant decrease in pharmacy trips was noted (Difference: 2.17, P < 0.001).
  • Both patients and pharmacy staff reported satisfaction with the medication synchronization service.

Conclusions:

  • Medication synchronization is an effective strategy for improving medication adherence in pediatric populations.
  • This service reduces the frequency of pharmacy visits for pediatric patients and their caregivers.
  • Implementing medication synchronization can enhance the overall quality of care for children with chronic conditions.
Abstract

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