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CVS Caremark Research Finds New, More Accurate Method for Classifying Patient Medication Adherence Behaviors
Date:9/12/2013

patterns of adherence so that health care professionals could appropriately target interventions.  In addition, data related to the quantity and timing of medication availability could help improve our understanding of the effects of nonadherence on clinical outcomes."

Based on the study group, researchers categorized patients into six distinct groups according to characteristics:

  • Nearly always adherent (23.4 percent)
  • Brief gap in medication use or filled irregularly during the first nine months, but improved during the last six months (11.4 percent)
  • Slowly declining adherence throughout the 15 month period (11.3 percent)
  • Used statins only occasionally across the 15 month study period (15.0 percent)
  • Rapid decline in statin use after initiation (19.3 percent)
  • Virtually no fills after their initial fill (23.4 percent)

Group trajectory modeling also identified certain characteristics that impact medication adherence.  For example, among the study participants, on average, those patients with the best adherence were older, more likely to have a higher income, more likely to be a high school graduate and less likely to be black. In addition, those with the best adherence were more likely to be a Medicare Part D beneficiary or live in New England. Those with the lowest adherence rates tended to be generally younger, male and less likely to have an initial prescription that provided them with more than a 30-day supply of medication.

"CVS Caremark continues to engage in cutting-edge research using novel approaches to analyze data so we can better understand the adherence behaviors and needs of the patients we support," said Troyen A. Brennan, MD, MPH, executive vice president and chief medical officer of CVS Caremark.  "The use of trajectory models could help us more accurately identify patients at risk for medication nonadherenc
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SOURCE CVS Caremark Pharmacy Services
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