Category: Professional Posters
Purpose: Late or failure to pick-up monthly medications can negatively impact adherence and treatment outcomes. There is limited literature addressing the factors that influence the medication pick up behavior of patients in the ambulatory setting. Therefore, there is a need to understand the factors that influence patients’ medication pick up behavior in order to provide the appropriate interventions. This study was designed to evaluate patients’ reasons for late pick up behavior in an outpatient pharmacy setting.
Methods: A broad literature search to identify and assess factors that influence inappropriate/late medication pick up behavior was performed. An investigative review article was found and common factors related to late or failure to pick up medication were identified. A telephonic survey was designed and conducted to identify factors that influence patient’s pick-up behavior in an outpatient pharmacy. A cohort of 46 patients that had late pick up behavior (≥ 11 days past ready status) over a period of time were identified. Other related data such demographics, ethnicity and number of doctor’s visit were gathered. Proportion of days covered (PDC6) over 6 months of CMS measured classes—diabetes, cholesterol, and hypertension – were used as indicators of adherence.
Results: Out of 46 patients, 24 patients responded to the survey. A majority of the patients were female and African-American. Fourteen patients (58%) identified transportation, thirteen patients (54%) identified syncing with doctor visit, eleven patients (46%) identified convenience, and eight patients (33%) identified forgetfulness as a reason for late medication pick up. Also, six patients (25%) noted that parking had a negative impact on their pick up behavior. Three out of ten and six out of 20 patients were below benchmark of 80% of Proportion of Days Covered (PDC6) for oral diabetic and statin medications, respectively. Within the cohort, the average number of doctor visits was 13 per year.
Conclusion: The top 5 factors influencing primary non-adherence/late medication pick up behavior among this cohort of patients were identified as transportation, syncing with doctor visits, convenience, forgetfulness, and parking. Transportation and parking may be unique issues to this setting because the pharmacy may not be easily accessible and patients have to pay for parking to pick up medications. Majority of the patients did not reach benchmark PDC6 values for CMS measured classes (diabetes, cholesterol, and hypertension). The average doctor visits of 13 per year is higher than the national average of 4 identified by the commonwealth fund in 2008.