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Repeat prescriptions: refill adherence in relation to patient and prescriber characteristics, reimbursement level and type of medication

Andersson, K; Melander, Arne LU ; Svensson, C; Lind, O and Nilsson, JLG (2005) In European Journal of Public Health 15(6). p.621-626
Abstract
Background: Repeat prescribing used in long-term pharmacotherapy is often associated with inadequate patient medication, including non-adherence. In this paper we explore patients' drug refill adherence with repeat prescriptions and relate refill data to patient age and gender, type of prescriber, type of prescribed drug, and reimbursement level. Methods: During one week of 2002, copies of 3636 repeat prescriptions filled at 16 large Swedish pharmacies were collected. Satisfactory refill adherence was defined as dispensed refills covering 80-120% of the prescribed treatment time. Under- and oversupplying were defined as < 80% and > 120% coverage, respectively. Result: The average level of refill adherence was 57%, and the level of... (More)
Background: Repeat prescribing used in long-term pharmacotherapy is often associated with inadequate patient medication, including non-adherence. In this paper we explore patients' drug refill adherence with repeat prescriptions and relate refill data to patient age and gender, type of prescriber, type of prescribed drug, and reimbursement level. Methods: During one week of 2002, copies of 3636 repeat prescriptions filled at 16 large Swedish pharmacies were collected. Satisfactory refill adherence was defined as dispensed refills covering 80-120% of the prescribed treatment time. Under- and oversupplying were defined as < 80% and > 120% coverage, respectively. Result: The average level of refill adherence was 57%, and the level of under- and oversupplying 21% and 22%, respectively. There was no gender difference. Patients who were exempt from payment had higher oversupplies than others (33% versus 19%), and patients of general practitioners had higher refill adherence than patients of hospital physicians. The highest refill adherence was observed for contraceptives (81%) and the lowest for anti-asthmatics, proton pump inhibitors and non-steroidal anti-inflammatory drugs (30-40%). Conclusions: Refill non-adherence includes both under- and oversupplying and may vary due to different attitudes between prescribers and between patients. Different therapeutic indications and reimbursement systems are other apparent causes. These observations should be considered in programs aiming to assist patients in following medication prescriptions. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
refill adherence, oversupply, undersupply, repeat prescriptions
in
European Journal of Public Health
volume
15
issue
6
pages
621 - 626
publisher
Oxford University Press
external identifiers
  • wos:000233847400018
  • pmid:16126746
  • scopus:29044444442
ISSN
1101-1262
DOI
10.1093/eurpub/cki053
language
English
LU publication?
yes
id
5bc118aa-44c2-4d38-ad8c-0f80a79dada9 (old id 894340)
date added to LUP
2008-01-11 10:50:42
date last changed
2017-01-01 05:05:47
@article{5bc118aa-44c2-4d38-ad8c-0f80a79dada9,
  abstract     = {Background: Repeat prescribing used in long-term pharmacotherapy is often associated with inadequate patient medication, including non-adherence. In this paper we explore patients' drug refill adherence with repeat prescriptions and relate refill data to patient age and gender, type of prescriber, type of prescribed drug, and reimbursement level. Methods: During one week of 2002, copies of 3636 repeat prescriptions filled at 16 large Swedish pharmacies were collected. Satisfactory refill adherence was defined as dispensed refills covering 80-120% of the prescribed treatment time. Under- and oversupplying were defined as &lt; 80% and &gt; 120% coverage, respectively. Result: The average level of refill adherence was 57%, and the level of under- and oversupplying 21% and 22%, respectively. There was no gender difference. Patients who were exempt from payment had higher oversupplies than others (33% versus 19%), and patients of general practitioners had higher refill adherence than patients of hospital physicians. The highest refill adherence was observed for contraceptives (81%) and the lowest for anti-asthmatics, proton pump inhibitors and non-steroidal anti-inflammatory drugs (30-40%). Conclusions: Refill non-adherence includes both under- and oversupplying and may vary due to different attitudes between prescribers and between patients. Different therapeutic indications and reimbursement systems are other apparent causes. These observations should be considered in programs aiming to assist patients in following medication prescriptions.},
  author       = {Andersson, K and Melander, Arne and Svensson, C and Lind, O and Nilsson, JLG},
  issn         = {1101-1262},
  keyword      = {refill adherence,oversupply,undersupply,repeat prescriptions},
  language     = {eng},
  number       = {6},
  pages        = {621--626},
  publisher    = {Oxford University Press},
  series       = {European Journal of Public Health},
  title        = {Repeat prescriptions: refill adherence in relation to patient and prescriber characteristics, reimbursement level and type of medication},
  url          = {http://dx.doi.org/10.1093/eurpub/cki053},
  volume       = {15},
  year         = {2005},
}