Unclaimed prescriptions after automated prescription transmittals to pharmacies

Ekedahl, Anders; Månsson, Niclas

doi:10.1023/b:phar.0000013464.09197.41

Cited by 65 publications

(89 citation statements)

References 13 publications

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“…Det datoriserade receptet, som på elektronisk väg förs från läkarens dator direkt till apotekets skrivare, förenklar recepthanteringen och besparar läkaren tid. Det finns enstaka studier som visar att den primära följsamheten inte försämras av elektroniska recept (140). Men det personliga överlämnandet av receptet, som står för ett omhändertagande -en "ritual", försvinner med elektroniska recept och möjligheterna till personlig dialog med farmaceuten begränsas om medicinerna sänds per post till patienten.…”

Section: Den Personlige Läkarenunclassified

My sickness and me: Men with cardiovascular disease and their perceptions of their illness and medication

Hagström¹,

Mattsson²,

Skott³

2005

The Journal of Men's Health & Gender

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Section: Den Personlige Läkarenunclassified

My sickness and me: Men with cardiovascular disease and their perceptions of their illness and medication

Hagström¹,

Mattsson²,

Skott³

2005

The Journal of Men's Health & Gender

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“…This is similar to previous research on unclaimed prescriptions in which the classes most frequently reported as having the highest percentage of unclaimed scripts included psychiatric medications (sometimes called central nervous system [CNS] drugs), analgesics, contraceptives, and antibiotics. 1,[3][4][5]7,8,[10][11][12][13][14][15]20,26,27,41,[47][48][49] Differences in research methods between the present study and previous research may explain why antibiotics, which comprised 1.6% of unclaimed fills, were not among the top 3 unclaimed prescription classes reported for this research population. By using 12 months of data on prescription drug orders and dispensings, the present study was not affected by seasonal drug utilization that is likely more common for antibiotics than other drug classes, while other studies that use fewer than 12 months of data (in some cases, 1 or 2 months) are potentially more affected by seasonal patterns of drug use.…”

Section: ■■ Discussionmentioning

confidence: 82%

“…The levels of unclaimed prescriptions across drug classes primarily associated with chronic and acute medical conditions were examined because unclaimed prescriptions most often are associated with use of medications for acute conditions. 1,[3][4][5]7,8,[10][11][12][13][14][15]20,26,27,41 ■■ Results Between May and July 2004, telephone interviews with 1,214 TRICARE beneficiaries were completed, with a response rate of 60.6% (attempts were made to contact 2,004 patients in total to reach a target of 200 completed interviews per study pharmacy). From March to July 2004, respondents filled nearly 7 prescriptions, on average.…”

Section: Analysis Of Survey Datamentioning

confidence: 99%

“…19 Reasons for not picking up prescriptions include transfer of the prescription to another pharmacy, forgetting the prescription, leftover previous medication, no perceived need for the medication, high out-of-pocket costs, long wait times at pharmacies, change in the drug regimen by the physician, and miscommunication between the patient and physician. 2,3,5,7,[13][14][15][16]19,22,23,[27][28][29][30][31] Both behavioral (e.g., having the patient begin using a pillbox or calendar) and educational (e.g., one-onone meetings with a pharmacist who teaches the patient about the proper use of medications) interventions improve medication compliance, but there is little evidence that any one intervention improves compliance more than others. 32 The most effective interventions are multifaceted, 32 include a communication or counseling component, [32][33][34][35][36] promote active participation in care on the part of patients, 32 and reinforce compliant behavior with reminders by telephone or mail.…”

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confidence: 99%

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Prevalence of Unclaimed Prescriptions at Military Pharmacies

Esposito¹,

Schöne²,

Williams³

et al. 2008

JMCP

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BACKGROUND: Prescriptions that are ordered by physicians but not picked up by patients represent a potential quality improvement opportunity in health systems. Previous research has demonstrated that anywhere from as little as 0.28% to as much as 30.0% of prescriptions are unclaimed, and that 0.45% to 22.0% of patients fail to claim prescriptions. In the Military Health System (MHS), prescriptions filled at military pharmacies are dispensed with no copayment, providing an opportunity to examine the factors that contribute to unclaimed prescriptions other than out-of-pocket cost.OBJECTIVES: To estimate the prevalence of unclaimed prescriptions in the MHS, investigate reasons for unclaimed prescriptions, and compare self-reported noncompliance, defined as the failure to pick up at least 1 prescription in a 12-month period, with evidence from an administrative database of prescription orders and dispensings.METHODS: Research methods included pharmacy staff interviews at 6 military pharmacies, a telephone survey of beneficiaries who filled prescriptions at these pharmacies, descriptive analysis of survey data, and comparison of administrative pharmacy data with self-reported survey data. Beneficiary interviews, conducted from May through July 2004, covered background characteristics, medical conditions, and unclaimed prescriptions, relying on 12 months of recall regarding noncompliance. Interviews with pharmacy staff covered day-to-day operations, factors that alleviate or exacerbate noncompliance, and the burden that noncompliance places on pharmacies. Administrative data from the Pharmacy Data Transaction Service (pharmacy claims) and Composite Health Care System (CHCS: prescription orders and dispensings) databases were used to select a random sample for the beneficiary survey. Survey respondents' CHCS data were matched to their responses to determine the degree of agreement between self-reports and administrative data.RESULTS: Pharmacy interviews were completed with 30 staff members at 6 military pharmacies, and telephone interviews were completed with 1,214 beneficiaries (60.6% response rate). Beneficiary respondents filled an average of 7 prescriptions in the 5 months approximately surrounding the survey administration time frame (from March to July 2004). More than half (56.8%) of respondents were female, and nearly 60.6% were retired military or their dependents. Among all respondents at all study pharmacies, 8.0% reported failing to claim at least 1 prescription during the prior 12 months. Among survey respondents deemed compliant by CHCS data, 93.8% correctly identified themselves as compliant. However, among patients identified as noncompliant using CHCS data, only 16.0% selfidentified as noncompliant. The administrative data were not concordant with self-report data: of 105 survey respondents identifying themselves as noncompliant in the prior year and matched to administrative data (CHCS), only 58.1% were noncompliant per administrative data, and of 1,065 selfidentifying as compliant, only 61.1%...

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“…those that network prescribing and dispensing computer systems [24]. Even fewer studies address the computerisation of transmission as their primary objective, and these are mainly focused on the receiving end of the transmission process, in pharmacies, and not specifically on its effects on workload or efficiency of clinical practice [25][26][27]. Thus the evidence on time-savings and efficiency gains achieved by making the transmission of prescriptions electronic is ambiguous and often incidental, emerging out of studies of computerisation of prescribing in general, rather than specifically of transmission of prescriptions.…”

Section: Box 2 -Electronic Prescriptionmentioning

confidence: 99%

The fungibility of time in claims of efficiency: The case of making transmission of prescriptions electronic in English general practice

Lichtner

Venters

Hibberd³

et al. 2013

International Journal of Medical Informatics

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Objectives: This paper presents a study of the effects of the implementation of the NHS Electronic Prescription Service (EPS) on time spent on repeat prescribing in English general practice. EPS is a new network service for the electronic transmission of primary care prescriptions, principally between GP practices and community pharmacies. This service is promoted on the basis of the importance of safe and timely supply of medicines, and the level of medicines use by many patients with treatable chronic conditions. The service is also based on presumptions of significant timesavings and efficiency gains for general practices and GPs. Our objective was to assess the time-related changes (including time savings) conditioned by digital transmission of prescriptions, specifically for repeat prescribing activity in primary care practices.Methods: As part of the official evaluation of EPS in the English NHS we undertook a qualitative research design with field studies in four of the first GP practices adopting EPS. This research was based on interviews with clinical and administrative staff, and non-participant observation of repeat prescribing related activities. Results:We found that the use of EPS reduced turnaround time and conditioned changes in the workflow, with time-savings found mainly in relation to administrative tasks. But the use of this technology also created additional tasks and shifted existing tasks and responsibilities. Thus elimination of tasks did not automatically correspond to potential staff savings or cost savings. Tasks that were eliminated and new tasks that were created were not equivalent in terms of time spent, quality of attention required, and roles involved. Conclusions:The wider claim that healthcare information technology saves time and increases efficiency is often based on assumptions of the fungibility of time and people 3 -i.e. that units of time added or saved on different steps of the workflow can be summed up as if they were all of the same kind, and thus reveal any net efficiency gain.But workflow time savings involve changes in the quality of tasks, redistribution of work and responsibility that mean that time can hardly be added or subtracted to obtain 'efficiency totals'.

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Unclaimed prescriptions after automated prescription transmittals to pharmacies

Cited by 65 publications

References 13 publications

My sickness and me: Men with cardiovascular disease and their perceptions of their illness and medication

My sickness and me: Men with cardiovascular disease and their perceptions of their illness and medication

Prevalence of Unclaimed Prescriptions at Military Pharmacies

The fungibility of time in claims of efficiency: The case of making transmission of prescriptions electronic in English general practice

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