2010
DOI: 10.1097/mlr.0b013e3181c132ad
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Patient, Physician, and Payment Predictors of Statin Adherence

Abstract: BACKGROUND: Although many patient, physician, and payment predictors of adherence have been described, knowledge of their relative strength and overall ability to explain adherence is limited.OBJECTIVES: To measure the contributions of patient, physician, and payment predictors in explaining adherence to statins RESEARCH DESIGN: Retrospective cohort study using administrative data SUBJECTS: 14,257 patients insured by Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) who were newly prescribed a statin chole… Show more

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Cited by 170 publications
(171 citation statements)
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References 34 publications
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“…This multicontinental study is the first in transplantation and one of the first in chronically ill patient populations6, 15, 33 to simultaneously investigate patient‐, healthcare provider/family‐, healthcare organization‐ and healthcare system‐related factors’ associations with medication nonadherence. Its main strengths are its large geographical coverage (11 countries) as well as its use of theory to select potential multilevel correlates 6, 19, 20, 38…”
Section: Discussionmentioning
confidence: 99%
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“…This multicontinental study is the first in transplantation and one of the first in chronically ill patient populations6, 15, 33 to simultaneously investigate patient‐, healthcare provider/family‐, healthcare organization‐ and healthcare system‐related factors’ associations with medication nonadherence. Its main strengths are its large geographical coverage (11 countries) as well as its use of theory to select potential multilevel correlates 6, 19, 20, 38…”
Section: Discussionmentioning
confidence: 99%
“…However, the focus has been primarily on patient‐level factors 1, 8, 13, 14. In fact, most patient‐level factors are only weakly associated with medication nonadherence, suggesting that other‐level variables also play roles 6, 11, 15. In addition, few studies exploit theoretical models that guide selection of factors for investigation 16, 17, 18…”
Section: Introductionmentioning
confidence: 99%
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“…However, the relationship between these factors and adherence have been inconsistent; and most studies have found weak associations (< 0.15 r) with nonadherence. 25,26 No simple explanation for nonadherence exists. Nonetheless, the following are the patient, disease, and system factors found in the literature associated with nonadherence (See Table 1).…”
Section: Factors That Affect Adherencementioning
confidence: 99%
“…26,88 Lack of adherence to oral chemotherapy can contribute to variability in a drug's antineoplastic agent effect if a clinician incorrectly attributes the patient's worsening condition to an absence of drug activity and may lead to unnecessary testing and hospitalization. 31 …”
Section: Increased Use Of Healthcare Resourcesmentioning
confidence: 99%