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One in 3 prescriptions are never redeemed: primary nonadherence in an outpatient clinic.| Authors: | Andreas Storm, Stig Ejdrup Andersen, Eva Benfeldt, Jørgen Serup | | Language: | Eng. | | Date: | 23-06-2008 | | Journal: | Journal of the American Academy of Dermatology
(1097-6787)
| | Release: | J Am Acad Dermatol. 2008 Jul;59(1):27-33 | |
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Abstract:
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BACKGROUND:
Despite being essential to medication adherence, redemption of initial prescriptions (ie, primary adherence) has been investigated only sparsely.
OBJECTIVES:
The objectives were to determine the frequency and risk factors for primary nonadherence among outpatients with dermatologic conditions.
METHODS:
Every 15th day during 2006, all patients receiving a prescription for an initial treatment with a previously untried medication were studied. Redemptions were traced in an electronic register after 4 weeks. Exclusions were a result of identical treatments within the last 6 months or hospitalizations within 4 weeks.
RESULTS:
In all, 30.7% of the 322 eligible patients did not collect their medication. Patients with psoriasis were least adherent with nearly 50% of the prescriptions being unredeemed. LIMITATIONS: Only initial prescriptions for previously untried medications issued to hospital outpatients were studied.
CONCLUSIONS:
For the clinician, primary nonadherence is an essential differential diagnosis when a given therapy fails.
| | Copyright: | Journal of the American Academy of Dermatology
Department of Dermatology, Copenhagen University Hospital, Bispebjerg, Copenhagen, Denmark. astorm@dadlnet.dk | | Full text: |  EBSCO - HTML (needs subscription) | | Terms: | Adult, Denmark, Female, Health Care Costs, Humans, Insurance, Health, Male, Middle Aged, Outpatients, Patient Acceptance of Health Care, Patient Compliance, Prescriptions, Drug, Risk Factors, Skin Diseases, Treatment Refusal | | |
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