Journal article
Population-Based Medication Reviews: A Descriptive Analysis of the Medication Issues Identified in a Medicare Not-for-Profit Prescription Discount Program
The Annals of pharmacotherapy, Vol.38(11), pp.1823-1829
11/2004
DOI: 10.1345/aph.1E204
PMID: 15479770
Abstract
BACKGROUND
Medication reviews may be an important strategy to improve medication use, especially for individuals receiving many drugs.
OBJECTIVE
To describe the types of medication issues and recommendations identified in the Iowa Priority Brown Bag Medication Reviews, compare individuals with medication issues with those without medication issues, and describe Iowa Priority enrollees’ experiences with and satisfaction of the review.
METHODS
A retrospective review of enrollment forms and medication review records and a survey of Iowa Priority members were conducted in 2002. Subjects were Medicare-eligible individuals who joined the Iowa Priority Prescription Savings Program. Frequency distributions and descriptive statistics were calculated. Analysis using t-test and χ
2
test determined differences between individuals with and without issues regarding use of drug therapy.
RESULTS
Almost 13% of Iowa Priority enrollees received a review. There were 1167 individuals with 2123 medication issues identified. Nonprescription medications accounted for one-third of drug interactions and >40% of duplications. People with issues had poorer health, more chronic conditions, and took more drugs than people without medication issues. One-third of survey respondents discussed the review with their physicians, and 17.7% reported medication changes. Satisfaction with the review was good; however, only 24% were likely to have received an annual review.
CONCLUSIONS
Iowa Priority Brown Bag Medication Reviews showed that individuals with fair/poor health, higher numbers of medications, and more chronic conditions were likely to have medication issues. Reviews generated discussions between physicians and patients, produced some medication changes, and helped individuals save money.
Details
- Title: Subtitle
- Population-Based Medication Reviews: A Descriptive Analysis of the Medication Issues Identified in a Medicare Not-for-Profit Prescription Discount Program
- Creators
- Karen B Farris - University of IowaJulie M Ganther-Urmie - University of IowaGang Fang - University of IowaWilliam R Doucette - University of IowaJohn M Brooks - University of IowaDonald G Klepser - University of IowaDavid J Fries - David J Fries BS, Executive Director, Iowa Prescription Drug Corporation, West Des Moines, IACarol L Kuhle - Iowa Prescription Drug Corporation
- Resource Type
- Journal article
- Publication Details
- The Annals of pharmacotherapy, Vol.38(11), pp.1823-1829
- DOI
- 10.1345/aph.1E204
- PMID
- 15479770
- ISSN
- 1060-0280
- eISSN
- 1542-6270
- Language
- English
- Date published
- 11/2004
- Academic Unit
- Pharmacy; Pharmacy Practice and Science
- Record Identifier
- 9984366029402771
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