ArticlePopulation health management2016
Improving Medication Adherence and Health Care Outcomes in a Commercial Population through a Community Pharmacy.
Article in Population health management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Pharmacy-based management for depression in adults.The Cochrane database of systematic reviews · 2019Pooled it
- An initial reliability analysis of a patient counseling rubric to objectively measure student pharmacist performance.Heliyon · 2023Article
- Mapping Real-World Data to Self-Reported Information to Explore Determinants of Location Selection for Community Pharmacies in Taiwan.Journal of multidisciplinary healthcare · 2023Article
- Predicting Risk for Early Breastfeeding Cessation in Israel.Maternal and child health journal · 2022Article
- Medication use problems among older adults at a primary care: A narrative of literature review.Aging medicine (Milton (N.S.W)) · 2022Review
- Public Perception of Pharmacists in Poland.International journal of environmental research and public health · 2022Article
- Accessibility of Low-cost Insulin From Illegitimate Internet Pharmacies: Cross-sectional Study.Journal of medical Internet research · 2022Article
- Association between Medication Non-Adherence and Increases in Hypertension and Type 2 Diabetes Medications.Healthcare (Basel, Switzerland) · 2021Article
- Implementation of a Real-Time Medication Intake Monitoring Technology Intervention in Community Pharmacy Settings: A Mixed-Method Pilot Study.Pharmacy (Basel, Switzerland) · 2021Article
- Community Pharmacies in Poland-The Journey from a Deregulated to a Strictly Regulated Market.International journal of environmental research and public health · 2020Review
- Association of Medication Adherence with Hospital Utilization and Costs Among Elderly with Diabetes Enrolled in a State Pharmaceutical Assistance Program.Journal of managed care & specialty pharmacy · 2020Observational
- Quality of Pharmaceutical Services in Independent Pharmacies and Pharmacy Chains in Poland from the Patient Perspective.Patient preference and adherence · 2020Article
- Comparison of Medication Therapy Management Services and Their Effects on Health Care Utilization and Medication Adherence.Journal of managed care & specialty pharmacy · 2019Article
- Article
- A National Assessment of Medication Adherence to Statins by the Racial Composition of Neighborhoods.Journal of racial and ethnic health disparities · 2017Article
- Impact of late-to-refill reminder calls on medication adherence in the Medicare Part D population: evaluation of a randomized controlled study.Patient preference and adherence · 2017Article
- Outcome Evaluation of a Subcutaneous Immunoglobulin Clinical Management Program.Journal of research in pharmacy practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim was to evaluate the impact of a multifaceted set of medication management interventions offered by a community pharmacy on adherence, health care utilization, and costs within a commercial population. Patients initiating therapy within 16 drug classes from February 7, 2013, to October 6, 2013, were offered various adherence interventions by Walgreens pharmacy. Patients were linked deterministically to IMS medical and prescription databases for 6-month pre- and post-index data analysis. Walgreens patients (intervention) were matched to patients using other pharmacies (control) on drug class, index date, baseline demographics, clinical factors, utilization, and costs. Outcomes were evaluated at the intent-to-treat level using post-index differences and generalized estimating equations (GEE) regression model. Paired t tests (continuous variables) and McNemar's test (dichotomous variables) were used to determine the significance of estimated model coefficients at α = 0.05. The groups (n = 72,410 each) had similar age (47.1 vs. 45.7 years), sex (41.2% vs. 40.2% male), and disease burden (0.52 vs. 0.40 mean Charlson comorbidity index). In the 6-month post-index period, the intervention group had 3.0% greater medication adherence, 1.8% fewer hospital admissions, 2.7% fewer emergency room (ER) visits, and 0.53 fewer mean outpatient visits compared to the control group (all P < 0.0001). The intervention group incurred significantly lower GEE-adjusted pharmacy costs (-$92), outpatient costs (-$120), ER costs (-$38), and total health care costs (-$226.07) (all P < 0.0001), and higher inpatient costs ($86, P < 0.004) per patient. A multifaceted set of medication management interventions offered by a community pharmacy were associated with patients in a commercial population having significantly higher medication adherence and lower health care utilization and costs.
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