Evidence map›Paper›PMID 19780849›Full record

ArticleHealth services research2009

The influence of targeted education on medication persistence and generic substitution among consumer-directed health care enrollees.

Rebecca L Sedjo, Emily R Cox

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Influencers of generic drug utilization: A systematic review.Research in social & administrative pharmacy : RSAP · 2018
    Pooled it
  2. Trial
  3. Article
  4. Biosimilar medicines uptake: The role of the clinical pharmacist.Exploratory research in clinical and social pharmacy · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Rebecca L SedjoOffice of Evidence-Based Pharmacy Benefit Design, Express Scripts Inc., One Express Way, St. Louis, MO 63121, USA. rsedjo@express-scripts.com
Emily R Cox

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate an educational outreach among consumer-directed health plan (CDHP) enrollees on medication persistence and lower-cost generic substitution within four chronic medication therapies. STUDY

settingA cross-sectional analysis using pharmacy claims data from a national employer group that began offering a CDHP in 2006 and implemented an educational outreach to some CDHP enrollees in 2007 was used.

methodsThe intervention group was comprised of CDHP enrollees who received education outreach and was compared with CDHP enrollees without the educational outreach. Adjusted and unadjusted medication persistence and lower-cost generic substitutions were compared between groups. PRINCIPAL

findingsThere was no difference in medication persistence between groups. CDHP enrollees with the educational outreach were more likely to have converted to lower-cost generic alternative antihypertensive medication compared with CDHP enrollees without the educational outreach (OR(adj)=29.82, 95 percent CI=4.41-201.93).

conclusionEducational outreach directed to CDHP enrollees was associated with increases in lower-cost generic alternatives with no change in patients' chronic medication use. However, considerable opportunity exists to assist CDHP enrollees in making sound health care decisions.

Indexed as

Community ParticipationHealth Benefit Plans, EmployeePatient CompliancePatient Education as TopicAdultChronic DiseaseCross-Sectional StudiesDecision MakingDrugs, GenericFemaleHumansMaleMiddle AgedUnited StatesDrugs, Generic

Identifiers

PMID19780849
PMCPMC2796315

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.