...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Patient Preference and Adherence >Impact of late-to-refill reminder calls on medication adherence in the Medicare Part D population: evaluation of a randomized controlled study
【24h】

Impact of late-to-refill reminder calls on medication adherence in the Medicare Part D population: evaluation of a randomized controlled study

机译：补充药后提醒电话对Medicare D部分人群药物依从性的影响：一项随机对照研究的评估

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: This study evaluates a nationwide pharmacy chain’s late-to-refill (LTR) reminder program that entails local pharmacists placing reminder calls to Medicare Part D patients. Methods: We conducted a randomized controlled study among 735,218 patients who exhibited nonadherent behavior by not refilling a maintenance medication 3?days from an expected refill date. Patients were randomly assigned to an intervention group who received LTR reminder calls or to a control group. We used Walgreens pharmaceutical claims data from 2015 to estimate the impact of LTR calls on short-term and annual adherence. Results: The initial refill rate within the first 14?days of the expected refill date significantly increased in the intervention group by 22.8% (6.09 percentage points) compared to the control group ( P <0.001). The proportion of days covered (PDC) in the intervention group increased significantly by 1.5% (0.856 percentage points) relative to the control group ( P <0.001) over 365?days. Patients in the intervention group were significantly more adherent (PDC ≥80%) by 3% (0.97 percentage points) compared to the control group ( P <0.001). Over a 270-day follow-up period, persistence significantly increased by 2.15?days in the intervention group ( P <0.001). Conclusion: Results from this study suggest that LTR reminder calls increased adherence for Medicare Part D patients who are late in refilling their medications and therefore have the potential to reduce their risk for hospitalization and health care costs. Additionally, the intervention increased the number of patients with PDC ≥80% by ~3%, positively impacting Medicare Part D plan quality rating.
机译：目标：这项研究评估了全国药房连锁店的后期补充（LTR）提醒计划，该计划要求当地药剂师向Medicare D部分患者发出提醒电话。方法：我们对735,218例表现出非依从性行为的患者进行了随机对照研究，这些患者从预期的补充日期起3天未补充维持药物。将患者随机分配到接受LTR提醒电话的干预组或对照组。我们使用了2015年的Walgreens药品索赔数据来估算LTR要求对短期和年度依从性的影响。结果：与对照组相比，干预组在预期补充日期的前14天之内的初始补充率显着提高了22.8％（6.09个百分点）（P <0.001）。与对照组相比，干预组在365天的工作日数（PDC）比例明显增加了1.5％（0.856个百分点）（P <0.001）。与对照组相比，干预组患者的依从性（PDC≥80％）明显提高了3％（0.97个百分点）（P <0.001）。在270天的随访期内，干预组的持久性显着增加了2.15天（P <0.001）。结论：这项研究的结果表明，LTR提醒呼叫可以提高对Medicare D部分患者的依从性，因为他们在补充药物的时间较晚，因此有可能降低其住院和医疗费用的风险。此外，该干预使PDC≥80％的患者人数增加了约3％，对Medicare D部分计划的质量评级产生了积极影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号