The effect of mail order pharmacy outreach on older patients with diabetes

Gong, Chelsea; Dyer, W. T. Thiselton; Yassin, Maher; Neugebauer, Romain; Karter, Andrew J.; Schmittdiel, Julie A.

doi:10.1111/jgs.17124

Cited by 1 publication

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…Historically, there are patient-level factors associated with medication adherence (such as challenges from complex regimens, adverse effects, financial barriers and access, depression, and patient beliefs), as well as structural barriers imposed by the complexities in acquiring prescription medications in the US decentralized health care system . The pharmaceutical industry, payers, clinicians and health systems, and policy makers have introduced interventions to improve medication adherence, such as use of clinician outreach and mail order pharmacies . However, changes and inconsistencies in payer formularies and out-of-pocket cost burden, especially among adults with no or insufficient insurance (ie, Medicare Part D), remain prominent issues…”

Section: Discussionmentioning

confidence: 99%

“…38,39 The pharmaceutical industry, payers, clinicians and health systems, and policy makers have introduced interventions to improve medication adherence, such as use of clinician outreach and mail order pharmacies. [40][41][42] However, changes and inconsistencies in payer formularies and out-of-pocket cost burden, especially among adults with no or insufficient insurance (ie, Medicare Part D), remain prominent issues. 43 Our use of 14 staggered panels of longitudinal data may also contribute to the research on national surveillance of diabetes populations by showing that, in a given year, there was a mix of adults who were persistently not using or inconsistently using medications annually and that this distribution changed over time.…”

Section: Jama Network Open | Diabetes and Endocrinologymentioning

confidence: 99%

See 2 more Smart Citations

Continuity of Medication Use by US Adults With Diabetes, 2005-2019

et al. 2023

View full text Add to dashboard Cite

ImportanceConsistent medication use is critical for diabetes management. Population surveillance of consistency of medication use may identify opportunities to improve diabetes care.ObjectiveTo evaluate trends in longitudinal use of glucose-, blood pressure–, and lipid-lowering medications by adults with diabetes.Design, Setting, and ParticipantsThis serial cross-sectional study assessed trends in longitudinal use of glucose-, blood pressure–, and lipid-lowering medications by adults with diagnosed diabetes participating in the Medical Expenditure Panel Survey (MEPS), which allows serial cross-sections and 2-year longitudinal follow-up, between the 2005 to 2006 panel and 2018 to 2019 panel. Population-weighted, nationally representative estimates for the US were reported. Included individuals were adult MEPS participants with diagnosed diabetes during both years (ie, during 2005 and 2006 or during 2018 and 2019) who participated in all survey rounds. Data were analyzed from August 2021 to November 2022.Main Outcomes and MeasuresLongitudinal use over the 2 years was categorized as continued use (at least 1 fill per year), no use, inconsistent use, and new use by medication type (glucose-, blood pressure–, and lipid-lowering medications). New medications were defined as prescription fills for a medication type first prescribed and filled in year 2 of MEPS participation.ResultsA total of 15 237 participants with diabetes (7222 individuals aged 45-64 years [47.4%]; 8258 [54.2%] female participants; 3851 Latino [25.3%]; 3619 non-Latino Black (23.8%), and 6487 non-Latino White [42.6%]) were included in the analytical sample. A mean of 19.5% (95% CI, 18.6%-20.3%), 17.1% (95% CI, 16.2%-18.1%), and 43.3% (95% CI, 42.2%-44.3%) of participants did not maintain continuity in use of glucose-, blood pressure–, or lipid-lowering medications, respectively, during both years of follow-up. The proportion of participants who continued use of glucose-lowering medication in both years trended down from 84.5% (95% CI, 81.8%-87.3%) in 2005 to 2006 to 77.4% (95% CI, 74.8%-80.1%) in 2018 to 2019; this decrease coincided with rate increases in inconsistent use (3.3% [95% CI, 1.9%-4.7%] in 2005-2006 to 7.1% [95% CI, 5.6%-8.6%] in 2018-2019) and no use (8.1% [95% CI, 6.0%-10.1%] in 2005-2006 to 12.9% [95% CI, 10.9%-14.9%] in 2018-2019). Inconsistent use of blood pressure–lowering medications trended upward from 3.9% (95% CI, 1.8%-6.0%) in 2005 to 2006 to 9.0% (95% CI, 7.0%-11.0%) in 2016 to 2017. Inconsistent use of lipid-lowering medication trended up to a high of 9.9% (95% CI, 7.0%-12.7%) in 2017 to 2018.Conclusions and RelevanceThis study found that a mean of 19.5% of participants did not maintain continuity in use of glucose-lowering medication, with recent decreases, while a mean of 17.1% and 43.2% of participants did not maintain continuity of use of blood pressure– or lipid-lowering medications, respectively.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%