Use of communication tool within electronic medical record to improve primary nonadherence
| Autor: | Daniel E. Kerner, Emily Knezevich |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Prescription Drugs MEDLINE Blood Pressure Pharmacology (nursing) Pharmacy 030204 cardiovascular system & hematology Medication Adherence 03 medical and health sciences 0302 clinical medicine medicine Electronic Health Records Humans Prospective Studies 030212 general & internal medicine Medical prescription Prospective cohort study Antihypertensive Agents Retrospective Studies Pharmacology Internet business.industry Communication Electronic medical record Patient portal Retrospective cohort study Middle Aged Blood pressure Pharmaceutical Services Emergency medicine Female business |
| Zdroj: | Journal of the American Pharmacists Association. 57:S270-S273.e2 |
| ISSN: | 1544-3191 |
| DOI: | 10.1016/j.japh.2017.03.009 |
| Popis: | Objectives The primary objective of this study was to determine if an online reminder decreased the rate of primary nonadherence for antihypertensive medications in patients seen in 2 primary care clinics in Omaha, NE. The secondary objectives were to determine if patients receiving the intervention achieved lower blood pressure values at follow-up visits and to determine if the intervention decreased the number of days between prescribing and prescription pick-up. Methods A report was generated in an electronic health record to identify patients prescribed a new antihypertensive medication from a physician at one of the primary care clinics. Patients that failed to pick up this new prescription from the pharmacy within 7 days were sent an electronic reminder via an online patient portal. A baseline comparator group was created with the use of retrospective chart reviews for the 6 months before prospective data collection. Primary nonadherence rate and blood pressure values at follow-up visits were compared between the prospective and baseline comparator groups. Results The primary nonadherence rate decreased from 65.5% to 22.2% when comparing the baseline and prospective groups, respectively. The mean days to prescription pick-up decreased from 24.5 to 12.56 in the baseline and prospective groups. The prospective group showed a larger decrease in systolic blood pressure (17.33 mm Hg vs. 0.75 mm Hg) and diastolic blood pressure (6.56 mm Hg vs. 2.25 mm Hg) compared with the baseline group. Conclusion An online reminder through the electronic medical record appears to improve patient primary nonadherence, number of days between prescribing and prescription pick-up, and blood pressure measurements at follow-up visits. This research shows that an online reminder may be a valuable tool to improve patient primary adherence and health outcomes. Further research is needed with the use of a larger sample population to support any hypotheses about the effectiveness of the intervention. |
| Databáze: | OpenAIRE |
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