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10/15/2014

Community Pharmacy Medication Adherence

Medication adherence is a growing concern for health care providers. For this reason many community pharmacies are focusing on was to increase medication adherence rates. This can be done in various ways ranging in diverse settings.

            Medication therapy management (MTM) are services provided by pharmacists to increase therapeutic outcomes. There are approximately 1.5 billion preventable adverse effects that cause $177 billion in injury and death. A major target for MTM occurs in community pharmacies. The Pennsylvania Project studied 107 Rite Aid pharmacies that trained pharmacist to perform interventions including asking questions about medication adherence and 111 control pharmacies that did not perform these interventions.  The endpoints of this study showed an increase in medication adherence (PDC >80%) in the intervention group over the control group.  There was a significant increase in adherence of 3.1% for beta-blockers and 4.8% of for anti-diabetic drugs.

            Patient counseling is a great way for community pharmacists to change medication adherence rates. In an internal study, Walgreens Pharmacy is creating a way to identify patients that may need a little more help with medication adherence by examining  poor past medication adherence rates or new medications prescribed. In a study across 76 Walgreens, these interventions showed an increase in medication possession ratio.

            Chronic medications can be difficult to control of especially if a patient is taking multiple medications. An AHRQ tool used in community pharmacies called refill reminders, can help patients pick up their medications on time.  Using this script as part of an automated reminder system, can help prompt patients to refill their prescriptions or pick up their medication.

            While at work, I have come across these methods to increase medication adherence in the community setting. It is important as pharmacist to intervene early by educating and counseling the patient, so adherence rates start off high. These methods have proven extremely beneficial in my place of work. For example, automatic courtesy refills allow all patients on maintenance medications to be reminded to pick up their medication, so they do not miss doses. These are just some examples of methods being implemented in community pharmacies to help pharmacists identify these patients and improve medication adherence.

Urvi Patel, PharmD ‘16

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