Opportunities to encourage mail order pharmacy delivery service use for diabetes prescriptions: a qualitative study
| Autor: | O. Kenrik Duru, J. Frank Wharam, Andrew J. Karter, Susan D. Brown, Deanne Wiley, Julie A. Schmittdiel, Christopher V. Chau, Cassondra Marshall, Connie Mah Trinacty |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Psychological intervention California Health administration 0302 clinical medicine 7.1 Individual care needs Health care 80 and over 030212 general & internal medicine Aged 80 and over 030503 health policy & services Health Policy lcsh:Public aspects of medicine Diabetes Focus Groups Middle Aged 3. Good health Public Health and Health Services Health Policy & Services Pacific islanders Female Thematic analysis 0305 other medical science Mail order pharmacy Research Article Adult medicine.medical_specialty education Pharmacy and over Nursing Hawaii Medication Adherence 03 medical and health sciences Library and Information Studies Clinical Research Qualitative research Behavioral and Social Science medicine Diabetes Mellitus Humans Hypoglycemic Agents Postal Service Patient preference Metabolic and endocrine Aged business.industry Barriers and facilitators lcsh:RA1-1270 Focus group Good Health and Well Being Facilitator Family medicine Pharmaceutical Services Acceptance of health care Management of diseases and conditions business |
| Zdroj: | BMC health services research, vol 19, iss 1 BMC Health Services Research, Vol 19, Iss 1, Pp 1-8 (2019) BMC Health Services Research |
| Popis: | Background Medication non-adherence is a major contributor to poor outcomes in diabetes. Previous research has shown an association between use of mail order pharmacy delivery and better medication adherence, but little is known about the barriers and facilitators to mail order pharmacy use in diabetes patients. This qualitative study examined factors related to mail order pharmacy use versus traditional “brick and mortar” pharmacies to refill prescriptions. Methods We conducted four 90-min focus groups in 2016 among 28 diabetes patients in the Hawaii and Northern California regions of Kaiser Permanente, a large integrated health care delivery system. We queried participants on their preferred mode for refilling prescriptions and perceived barriers and facilitators of mail order pharmacy use. One researcher independently coded each focus group transcript, with two of these transcripts double-coded by a second researcher to promote reliability. We employed thematic analysis guided by the Capability, Opportunity, Motivation, and Behavior (COM-B) framework using NVivo 11 software. Results A total of 28 diabetes patients participated. Participants’ average age was 64.1 years; 57% were female; and racial/ethnic backgrounds included Asian/Native Hawaiian/Pacific Islander (36%), Black/African-American (21%) Hispanic/Latino (7%), and non-Hispanic White (36%). Analysis uncovered 26 themes related to the decision to use mail order pharmacy, with each theme representing a barrier or facilitator mapped to the COM-B framework. Most themes (20/26) fell into the COM-B category of ‘Opportunity.’ Opportunity barriers to mail order pharmacy use included unpredictability of medication delivery date, concerns about mail security, and difficulty coordinating refill orders for multiple prescriptions. In contrast, facilitators included greater access and convenience (e.g., no need to wait in line or arrange transportation) compared to traditional pharmacies. Motivational facilitators to mail order pharmacy use included receiving a pharmacy benefit plan incentive of a free one-month supply of prescriptions. Conclusions This study found that while patients with diabetes may benefit from mail order pharmacy use, they perceive numerous barriers to using the service. These findings will inform the design of interventions and quality improvement initiatives to increase mail order pharmacy use, which in turn may improve medication adherence and outcomes in diabetes patients, across health care systems. Electronic supplementary material The online version of this article (10.1186/s12913-019-4250-7) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|