Journal article
Consumer decision making for using comprehensive medication review services
Journal of the American Pharmacists Association, Vol.59(2), pp.168-177.e5
03/01/2019
DOI: 10.1016/j.japh.2018.11.003
PMID: 30612919
Abstract
Objectives: To identify main factors associated with older adults' decision making for using a Medicare Part D comprehensive medication review (CMR) service.
Design: Cross-sectional self-administered mailed survey.
Setting and participants: The survey was conducted from December 2016 to February 2017. Sampled subjects were 1) at least 65 years of age, 2) taking at least 1 prescription medication, and 3) a Medicare Part D beneficiary living in Florida (n = 310), Washington (n = 310), Wisconsin (n = 310), or Pennsylvania (n = 310) or active members of an Iowa senior registry (n = 460).
Main outcome measures: Responses to survey items assessing factors in the domains of internal need, external influences, perceived risks of using CMRs, and alternatives comparison that may affect older adults' decision to use CMRs.
Results: The overall completed response rate was 24% (n = 381). About 28% of respondents (n = 105) reported being a CMR recipient. Recommendations from a pharmacist (P < 0.0001) or a physician (P = 0.0350), pharmacist's communication in previous encounters (P = 0.0007), perceived susceptibility to medication-related problems (P < 0.0001), and positive outcome expectancy (P = 0.0147) were positively associated with consumers' decision to participate in CMRs, whereas perceived functional risk (P < 0.0001), access to general counseling in previous experiences (P = 0.0145), and family or friends' influence (P = 0.0065) were negatively associated factors.
Conclusion: CMR uptake remains low after being available for years. Recommendations from health professionals and understanding of service benefits were identified as main factors affecting consumers' decision making for participating in CMRs. Policy makers could consider 1) seeking collaboration with community pharmacists and physicians and 2) addressing key components and benefits of CMRs in older adults as new promotion strategies. (C) 2019 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Consumer decision making for using comprehensive medication review services
- Creators
- Yiran Zhang - Virginia Commonwealth UniversityWilliam R. Doucette - Univ Iowa, Coll Pharm, Div Hlth Serv Res, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Journal of the American Pharmacists Association, Vol.59(2), pp.168-177.e5
- Publisher
- Elsevier
- DOI
- 10.1016/j.japh.2018.11.003
- PMID
- 30612919
- ISSN
- 1544-3191
- eISSN
- 1544-3450
- Number of pages
- 15
- Grant note
- Deborah K. Veale Professorship in Healthcare Policy
- Language
- English
- Date published
- 03/01/2019
- Academic Unit
- Pharmacy Practice and Science
- Record Identifier
- 9984366033602771
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