Evidence map›Paper›PMID 31600998›Full record

ArticleInternational journal of environmental research and public health2019

Enhancing Primary Adherence to Prescribed Medications through an Organized Health Status Assessment-Based Extension of Primary Healthcare Services.

Nouh Harsha, Magor Papp, László Kőrösi, Árpád Czifra, Róza Ádány, János Sándor

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

6 authors at 2 institutions in 1 country.

Nouh HarshaDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen 4012, Hungary. nouhharsha@gmail.com.ORCID 0000-0002-6822-1024
Magor PappDoctoral School of Health Sciences, University of Debrecen, Debrecen 4012, Hungary. magorpapp@gmail.com.
László KőrösiDepartment of Financing, National Health Insurance Fund, Budapest 1139, Hungary. korosi.l@neak.gov.hu.
Árpád CzifraDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen 4012, Hungary.
Róza ÁdányDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen 4012, Hungary. adany.roza@sph.unideb.hu.
János SándorDepartment of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen 4012, Hungary. sandor.janos@sph.unideb.hu.
University of Debrecen · HUSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study was part of monitoring an intervention aimed at developing a general practitioner cluster (GPC) model of primary healthcare (PHC) and testing its effectiveness in delivering preventive services integrated into the PHC system. The aim was to demonstrate whether GPC operation could increase the percentage of drugs actually dispensed. Using national reference data of the National Health Insurance Fund for each anatomical-therapeutic chemical classification ATC group of drugs, dispensed-to-prescribed ratios standardized (sDPR) for age, sex, and exemption certificate were calculated during the first quarter of 2012 (before-intervention) and the third quarter of 2015 (post-intervention). The after-to-before ratios of the sDPR as the relative dispensing ratio (RDR) were calculated to describe the impact of the intervention program. The general medication adherence increased significantly in the intervention area (RDR = 1.064; 95% confidence interval (CI): 1.054-1.073). The most significant changes were observed for cardiovascular system drugs (RDR = 1.062; 95% CI: 1.048-1.077) and for alimentary tract and metabolism-specific drugs (RDR = 1.072; 95% CI: 1.049-1.097). The integration of preventive services into a PHC without any specific medication adherence-increasing activities is beneficial for medication adherence, especially among patients with cardiovascular, alimentary tract, and metabolic disorders. Monitoring the percentage of drugs actually dispensed is a useful element of PHC-oriented intervention evaluation frames.

Indexed as

Medication AdherenceAdolescentAdultAgedData CollectionFemaleHealth StatusHumansHungaryMaleMiddle AgedPreventive Health ServicesPrimary Health CareYoung Adulthealth status assessmentmedication adherencepatient–physician cooperationprimary healthcarerelative dispensing ratio

Identifiers

PMID31600998
PMCPMC6843248
OpenAlexW2979746251

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.