Prescription noncompliance: contribution to emergency department visits and cost

Olshaker, Jonathan S.; Barish, Robert A.; Naradzay, Jerome F.X.; Jerrard, David A.; Safir, Ellen; Campbell, Lisa C.

doi:10.1016/s0736-4679(99)00109-2

Cited by 42 publications

(23 citation statements)

References 10 publications

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“…Three different measures of adherence were used, each with a slightly different focus. The main outcome measure was a patient self-assessment scale, which is one of the most commonly utilized strategies and represents the most general measure of medication adherence (1,5,6,9,23,25,30,45). The number of days in the past month on which doses were missed introduces a temporal component to the measurement of adherence.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, patients estimated the number of days in the past month on which they missed a dose of this same prescribed medication. Similar self-assessments have been utilized in previous studies (1,5,6,9,23,25,30,45). Finally, the treating ED physician was asked to assess the relatedness of the ED visit to medication non-adherence using an 11-point scale (0 ϭ completely unrelated to 10 ϭ directly related).…”

Section: Construction Of the Assessment Toolmentioning

confidence: 99%

“…Medication non-adherence is primarily responsible for a substantial percentage of Emergency Department (ED) visits, often resulting in admission to the hospital (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…Many studies cite the financial burden of prescription medications as a major reason for non-adherence (6,9). In addition, the influence of demographic and socioeconomic factors has been explored by multiple investigators (12,13,17,21,25,28 -33).…”

Section: Introductionmentioning

confidence: 99%

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Demographic, Socioeconomic, and Psychological Factors Related to Medication Non-adherence Among Emergency Department Patients

Davis

Jandrisevits

Iles

et al. 2012

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Construction Of the Assessment Toolmentioning

confidence: 99%

“…Medication non-adherence is primarily responsible for a substantial percentage of Emergency Department (ED) visits, often resulting in admission to the hospital (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Demographic, Socioeconomic, and Psychological Factors Related to Medication Non-adherence Among Emergency Department Patients

Davis

Jandrisevits

Iles

et al. 2012

The Journal of Emergency Medicine

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“…1 Nonadherence to prescription medication is a problem because it limits the effectiveness of therapeutic interventions and has been linked to higher morbidity and mortality as well as the higher use of health services. [2][3][4][5][6][7][8] Because of its impact on health outcomes, understanding the epidemiology and determinants of nonadherence is important.…”

Section: Introductionmentioning

confidence: 99%

Adherence to emergency department discharge prescriptions

Hohl

Abu‐Laban

Brubacher

et al. 2009

CJEM

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Objective: Nonadherence to prescribed medication is associated with increased morbidity and mortality as well as the increased use of health services. The main objective of our study was to assess the incidence of prescription-filling and medication adherence in patients discharged from the emergency department (ED). Methods: This was a prospective, observational study carried out at a Canadian tertiary care ED with an annual census of 69 000. We enrolled a convenience sample of patients being discharged with a prescription. We queried a provincial prescription-dispensing database 2 weeks later to determine whether prescriptions had been filled. We used a standardized follow-up interview to assess adherence and whether or not the patient experienced an adverse drug-related event (ADRE) or an unplanned revisit to an ED or clinic. Results: Of the 301 patients who agreed to participate, follow-up was successful for 258 (85.7%). Fifty-one patients (19.8%, 95% confidence interval [CI] 15.4%-25.1%) failed to fill their discharge prescriptions and 104 (40.3%, 95% CI 34.5%-46.4%) did not adhere to 1 or more medications. Antibiotics were associated with a lower odds ratio (OR) of nonadherence (OR 0.21, 95% CI 0.08-0.52). There was a trend toward increasing nonadherence in patients who reported an ADRE (OR 1.84, 95% CI 0.98-3.48) or had 2 or more medications coprescribed (OR 1.71, 95% CI 0.95-3.09). There was also a trend toward a higher risk of a revisit to an ED or clinic in nonadherent patients (OR 1.75, 95% CI 0.94-3.25). Conclusion: Approximately 4 in 10 patients discharged from the ED did not adhere to his or her prescribed medication. Our results suggest that patients who are prescribed antibiotics are more likely to be adherent, and that further evaluation of the associations between nonadherence, ADREs, the coprescription of 2 or more medications and the use of health services is warranted. RÉSUMÉObjectif : La non-observance médicamenteuse est associée à une hausse de la morbidité, de la ORIGINAL RESEARCH • RECHERCHE ORIGINALE EM ADVANCES

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Population Aging, Health Systems, and Equity: Shared Challenges for the United States and Canada

Quesnel‐Vallée

Farrah²,

Jenkins³

2011

Handbook of Sociology of Aging

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Prescription noncompliance: contribution to emergency department visits and cost

Cited by 42 publications

References 10 publications

Demographic, Socioeconomic, and Psychological Factors Related to Medication Non-adherence Among Emergency Department Patients

Demographic, Socioeconomic, and Psychological Factors Related to Medication Non-adherence Among Emergency Department Patients

Adherence to emergency department discharge prescriptions

Population Aging, Health Systems, and Equity: Shared Challenges for the United States and Canada

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