Cargando…
Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system
Background: Scarcity of prospective medication non-adherence cost measurements for the Australian population with no directly measured estimates makes determining the burden medication non-adherence places on the Australian health care system difficult. This study aims to indirectly estimate the nat...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537038/ https://www.ncbi.nlm.nih.gov/pubmed/31213779 http://dx.doi.org/10.2147/PPA.S191482 |
_version_ | 1783421914199359488 |
---|---|
author | Cutler, Rachelle Louise Torres-Robles, Andrea Wiecek, Elyssa Drake, Barry Van der Linden, Naomi Benrimoj, Shalom I (Charlie) Garcia-Cardenas, Victoria |
author_facet | Cutler, Rachelle Louise Torres-Robles, Andrea Wiecek, Elyssa Drake, Barry Van der Linden, Naomi Benrimoj, Shalom I (Charlie) Garcia-Cardenas, Victoria |
author_sort | Cutler, Rachelle Louise |
collection | PubMed |
description | Background: Scarcity of prospective medication non-adherence cost measurements for the Australian population with no directly measured estimates makes determining the burden medication non-adherence places on the Australian health care system difficult. This study aims to indirectly estimate the national cost of medication non-adherence in Australia comparing the cost prior to and following a community pharmacy-led intervention. Methods: Retrospective observational study. A de-identified database of dispensing data from 20,335 patients (n=11,257 on rosuvastatin, n=6,797 on irbesartan and n=2,281 on desvenlafaxine) was analyzed and average adherence rate determined through calculation of PDC. Included patients received a pharmacist-led medication adherence intervention and had twelve months dispensing records; six months before and six months after the intervention. The national cost estimate of medication non-adherence in hypertension, dyslipidemia and depression pre- and post-intervention was determined through utilization of disease prevalence and comorbidity, non-adherence rates and per patient disease-specific adherence-related costs. Results: The total national cost of medication non-adherence across three prevalent conditions, hypertension, dyslipidemia and depression was $10.4 billion equating to $517 per adult. Following enrollment in the pharmacist-led intervention medication non-adherence costs per adult decreased $95 saving the Australian health care system and patients $1.9 billion annually. Conclusion: In the absence of a directly measured national cost of medication non-adherence, this estimate demonstrates that pharmacists are ideally placed to improve patient adherence and reduce financial burden placed on the health care system due to non-adherence. Funding of medication adherence programs should be considered by policy and decision makers to ease the current burden and improve patient health outcomes moving forward. |
format | Online Article Text |
id | pubmed-6537038 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-65370382019-06-18 Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system Cutler, Rachelle Louise Torres-Robles, Andrea Wiecek, Elyssa Drake, Barry Van der Linden, Naomi Benrimoj, Shalom I (Charlie) Garcia-Cardenas, Victoria Patient Prefer Adherence Original Research Background: Scarcity of prospective medication non-adherence cost measurements for the Australian population with no directly measured estimates makes determining the burden medication non-adherence places on the Australian health care system difficult. This study aims to indirectly estimate the national cost of medication non-adherence in Australia comparing the cost prior to and following a community pharmacy-led intervention. Methods: Retrospective observational study. A de-identified database of dispensing data from 20,335 patients (n=11,257 on rosuvastatin, n=6,797 on irbesartan and n=2,281 on desvenlafaxine) was analyzed and average adherence rate determined through calculation of PDC. Included patients received a pharmacist-led medication adherence intervention and had twelve months dispensing records; six months before and six months after the intervention. The national cost estimate of medication non-adherence in hypertension, dyslipidemia and depression pre- and post-intervention was determined through utilization of disease prevalence and comorbidity, non-adherence rates and per patient disease-specific adherence-related costs. Results: The total national cost of medication non-adherence across three prevalent conditions, hypertension, dyslipidemia and depression was $10.4 billion equating to $517 per adult. Following enrollment in the pharmacist-led intervention medication non-adherence costs per adult decreased $95 saving the Australian health care system and patients $1.9 billion annually. Conclusion: In the absence of a directly measured national cost of medication non-adherence, this estimate demonstrates that pharmacists are ideally placed to improve patient adherence and reduce financial burden placed on the health care system due to non-adherence. Funding of medication adherence programs should be considered by policy and decision makers to ease the current burden and improve patient health outcomes moving forward. Dove 2019-05-23 /pmc/articles/PMC6537038/ /pubmed/31213779 http://dx.doi.org/10.2147/PPA.S191482 Text en © 2019 Cutler et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Cutler, Rachelle Louise Torres-Robles, Andrea Wiecek, Elyssa Drake, Barry Van der Linden, Naomi Benrimoj, Shalom I (Charlie) Garcia-Cardenas, Victoria Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system |
title | Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system |
title_full | Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system |
title_fullStr | Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system |
title_full_unstemmed | Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system |
title_short | Pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the Australian health care system |
title_sort | pharmacist-led medication non-adherence intervention: reducing the economic burden placed on the australian health care system |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537038/ https://www.ncbi.nlm.nih.gov/pubmed/31213779 http://dx.doi.org/10.2147/PPA.S191482 |
work_keys_str_mv | AT cutlerrachellelouise pharmacistledmedicationnonadherenceinterventionreducingtheeconomicburdenplacedontheaustralianhealthcaresystem AT torresroblesandrea pharmacistledmedicationnonadherenceinterventionreducingtheeconomicburdenplacedontheaustralianhealthcaresystem AT wiecekelyssa pharmacistledmedicationnonadherenceinterventionreducingtheeconomicburdenplacedontheaustralianhealthcaresystem AT drakebarry pharmacistledmedicationnonadherenceinterventionreducingtheeconomicburdenplacedontheaustralianhealthcaresystem AT vanderlindennaomi pharmacistledmedicationnonadherenceinterventionreducingtheeconomicburdenplacedontheaustralianhealthcaresystem AT benrimojshalomicharlie pharmacistledmedicationnonadherenceinterventionreducingtheeconomicburdenplacedontheaustralianhealthcaresystem AT garciacardenasvictoria pharmacistledmedicationnonadherenceinterventionreducingtheeconomicburdenplacedontheaustralianhealthcaresystem |