A Synchronized Prescription Refill Program Improved Medication Adherence.

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ID: 58562
2016
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Ranked #15 of 31 articles by views in Health affairs (Project Hope)

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Abstract
Synchronizing medication refills-renewing all medications at the same time from the same pharmacy-is an increasingly popular strategy to improve adherence to medication regimens, but there has been little research regarding its effectiveness. In light of increasing policy interest, we evaluated the impact of a pilot refill synchronization program implemented by a large national insurer. A random sample of Medicare Advantage patients receiving mail-order refills for common maintenance medications (antihypertensive, lipid-lowering, or antidiabetic agents) were invited to join the program and followed for twelve months. On average, the absolute increase in the proportion of patients deemed adherent during follow-up was 3-10 percentage points for the intervention group, compared to 1-5 percentage points for the control group. Patients with poorer baseline adherence showed larger increases in the absolute proportion deemed adherent in intervention (23-26 percentage points) compared to a control group (13-15 percentage points). Synchronizing refills might be a promising intervention to improve adherence to maintenance medications, especially among Medicare patients with low baseline adherence.
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doshi2016ahealth Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Doshi, Jalpa A;Lim, Raymond;Li, Pengxiang;Young, Peinie P;Lawnicki, Victor F;State, Joseph J;Troxel, Andrea B;Volpp, Kevin G;
Journal Health affairs (Project Hope)
Year 2016
DOI
10.1377/hlthaff.2015.1456
URL
Keywords
pharmaceuticals medicare medication adherence chronic care medication synchronization

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