Navigation Links
Not following doctor's orders: Prescription abandonment
Date:11/16/2010

INDIANAPOLIS Failure to have a prescription filled can undermine medical treatment, result in increased health care costs and potentially have devastating results for the patient. An editorial in the Nov. 16 issue of the Annals of Internal Medicine highlights the problem and issues a call to action.

In the editorial, "Prescription Abandonment: Another Path to Medication Nonadherence," Michael D. Murray, PharmD, MPH, a Regenstrief Institute, Inc. investigator and Purdue University professor of pharmacy practice, and Jeff Harrison, Ph.D., of the University of Auckland, New Zealand, observe that precise information on the dimensions of the problem does not exist. How many prescriptions are not brought to a pharmacy? How many prescribed medications are never retrieved? Will the rising use by physicians of electronic prescribing alter these numbers?

Dr. Murray and Dr. Harrison call for further study of the scope of the problem and evaluation of potential solutions. They also urge investigation of the impact of relationships between abandonment of prescriptions and clinical outcomes.

"Although to date studies have not shown how big a problem it is, prescription abandonment is not new, and is certainly affected by whether patients can afford their medications or even the co-payment. With the increasing use of electronic prescriptions that go directly from the physician's office to the pharmacy, we also need to explore whether the further elimination of the patient from the transmittal process has an impact on the likelihood that the prescription won't be picked up," said Dr. Murray.

Studies have estimated that the number of prescriptions not taken to the pharmacy to be filled or not picked up range from 20 percent to less than 2 percent of all prescriptions written. The number of studies used to generate these numbers is not large and some of these studies have focused on medications for a specific disease and may not apply to all health care settings.

Dr. Murray and Dr. Harrison note that physicians are often unaware of patient's out-of pocket costs for drugs and call for better physician-pharmacist collaboration surrounding medication choice and expense.

"Prescription abandonment may be driven by cost. The complexity of drug reimbursement in the United States is a particular challenge for physicians, pharmacists and patients alike. Explicitly taking into account both cost and the patient's ability to pay when considering treatment options is important and it's an area where pharmacists can assist physicians," said Dr. Harrison, who is a 2010 Fulbright New Zealand Senior Scholar based at the Regenstrief Institute.

Although prescription abandonment is only one, and probably not the most important, way of not following doctor's orders, Dr. Murray and Dr. Harrison say its impact on patient health make it necessary to study. Based on their own research, they believe it is at least partially remediable.


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University School of Medicine
Source:Eurekalert

Related medicine news :

1. Hearing loss common following radiation therapy for head and neck cancer
2. Statins associated with lower cancer recurrence following prostatectomy
3. New metric predicts language recovery following stroke
4. Less-invasive Lymph Node Resection Following Breast Cancer Surgery Confirmed as Standard of Care in Eight-year Study Led by AGH Doctors
5. Brain volume found to change following weight gain in adults with anorexia
6. Fewer Boys Born Following 9/11 Attacks
7. Falls and follow-ups: Medical attention following a fall critical to senior health
8. Lottery game helps to assess brain damage following stroke
9. Patient-physician compatibility increases odds of following doctors orders
10. ShelterBox Aid en route to Mexico Following Earthquake
11. New Study Identifies Cause of Severe Disequilibrium and Significant Memory Loss Following Stapedectomy Surgery
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... ... 08, 2016 , ... According to research by the National ... technicians to be certified or obtain continuing education. To increase patient awareness of ... Your Mouth?” campaign to inform dentists and patients about the possible lack of ...
(Date:2/7/2016)... ... February 07, 2016 , ... HealthSmart Holdings, Inc. announced today ... the tools and information to lower the costs, and increase the impact of ... providing employee healthcare benefits by as much as 22%:, + Price and ...
(Date:2/6/2016)... ... ... US Sports Camps is proud to sponsor the Bay Area Disc Association's ... leaders, ultimate organizations, and coaches from around the US. The theme for this year’s ... of Youth and Education, describes this year YUCC as “an important conversation we must ...
(Date:2/6/2016)... ... February 06, 2016 , ... ... eating disorder treatment helps to reduce the frequency and level of relapse. ... Phase: Re-Establishing Healthy Identity and Purpose,” will explore the critical tasks of the ...
(Date:2/5/2016)... ... 2016 , ... VeloReality President and co-founder Gary ... VR Indoor Trainer with multi-rider capability to an enthusiastic audience at the company's ... the weight of the unit, they also enhance the rider's experience with a ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... 2016 Vestagen Technical Textiles, Inc., a medical ... healthcare and other demanding applications, today announced it has ... replaces Dale Pfost , PhD, who was serving ... also joining Vestagen,s Board of Directors. ® ... barrier technologies that combines fluid repellent, antimicrobial and breathability ...
(Date:2/8/2016)... Ill. , Feb. 8, 2016  Astellas Pharma Inc. ... announced the promotion of James Robinson as president, ... company,s operations in North and South America ... Astellas Pharma US, representing the commercial organization in ... in 2013. Masao Yoshida , who is ...
(Date:2/8/2016)... , Feb. 8, 2016  CTI BioPharma Corp. ... Company received written communication from the U.S. Food and ... FDA has placed a partial clinical hold on the ... Drug ("IND") application for pacritinib. This clinical hold impacts ... the IND and will also affect planned clinical trials. ...
Breaking Medicine Technology: