Association Between Method of Prescribing and Primary Nonadherence to Dermatologic Medication in an Urban Hospital Population
| Autor: | Elizabeth A. Suarez, April R. Gorman, Adewole S. Adamson |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Outpatient Clinics Hospital Urban Population Population Ethnic group Dermatology Drug Prescriptions Skin Diseases Medication Adherence 030207 dermatology & venereal diseases 03 medical and health sciences Electronic Prescribing 0302 clinical medicine Hospitals Urban Electronic prescribing medicine Humans 030212 general & internal medicine Quality of care Medical prescription education Language Retrospective Studies education.field_of_study business.industry Medical record Age Factors Middle Aged Family medicine Cohort Female Dermatologic Agents business Safety-net Providers Urban hospital |
| Zdroj: | JAMA dermatology. 153(1) |
| ISSN: | 2168-6084 |
| Popis: | Importance Prescription underuse is associated with poorer clinical outcomes. A significant proportion of underuse is owing to primary nonadherence, defined as the rate at which patients fail to fill and pick up new prescriptions. Although electronic prescribing increases coordination of care and decreases errors, its effect on primary nonadherence is less certain. Objectives To analyze factors associated with primary nonadherence to dermatologic medications and study whether electronic prescribing affects rates of primary nonadherence. Design, Setting, and Participants A retrospective review of medical records was conducted from January 1, 2011, to December 31, 2013, among a cohort of new patients prescribed dermatologic medications at a single, urban, safety-net hospital outpatient dermatology clinic. Main Outcomes and Measures The primary outcome was the overall rate of primary nonadherence, defined as filling and picking up all prescribed medications within a 1-year period, and the difference in primary nonadherence between patients who received electronic prescriptions and those who received paper prescriptions. Secondary outcomes included the association of primary nonadherence with sex, age, relationship status, primary language, race/ethnicity, and number of prescriptions. Results A total of 4318 prescriptions were written for 2496 patients (mean [SD] age, 47.7 [13.2] years; 849 men and 1647 women). The overall rate of primary nonadherence was 31.6% (n = 788). Based on multivariable analysis, the risk of primary nonadherence was 16 percentage points lower among patients given an electronic prescription (15.2%) than patients given a paper prescription (31.5%). Primary nonadherence decreased with age ( |
| Databáze: | OpenAIRE |
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