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Undergraduate HealthSciences Pharmacy 1131 Does the Quality of the Patient-Pharmacist Relationship Improve Medication Adherence in Patients with Chronic Depression? By: Timothy Takach, Anthony Zaki and Dr. Nathaniel Rickles, Pharm.D., Ph.D., BCPP Abstract Non-adherencetomedicationsisahugeburdenontheUnitedStateshealthcaresystemwith costsexceeding$300billiondollarsannually.Thegoalofthisstudyistoevaluatewhetherthe patient-pharmacistrelationshipimpactsmedicationadherenceinpatientswithchronic depression.Thedatawascollectedfromanonlinesurveythatwasadministeredtoemployeesof theEMCcorporation.Employeesqualifiedforthesurveyiftheyhadachronicillnessandpicked upamedicationfortheirchronicdiseaseinthepastsixmonths,livedintheUS,andunderstood English.Thesurveyhadasetofelevenquestionswhichfocusedonmeasuringthequalityofthe patient-pharmacistrelationship.Thissurveydatawascomparedtomedicationclaimrecords obtainedfromprimarypharmaciesof117eligiblepatients.Medicationadherencewascalculated byassessinggapsinthemedicationclaimrecords.Cronbach’s alphawasusedtotestthe reliabilityoftheeleven-questionsurveyandwasmeasuredatanexcellentscoreof0.94.The surveyscoresrangedfrom11to55withalowerscoreindicatingapoorpatient-pharmacist relationship.Thisstudyhighlightstheimportanceofpharmacistinteractionswithpatientsin improvingmedicationadherence.Futureresearchshouldevaluatedifferenttechniquesto strengthenpatient-pharmacistrelationships,aswellasclinicalendpointstoassesswhetherthe patient-pharmacistrelationshipimproveshealthandqualityoflife. Background • Non-adherencetomedicationsisagreatburdenontheUnitedStateshealthcaresystem withcostsexceeding$300billiondollarsannually. • Non-adherencecausesaround125,000fatalitiesayear. • TheU.Ssurgeongeneralhascalledmedicationnon-adherenceamajorpublichealth concern. • TheCDCbelievesthatcommunicationbetweenhealthcareprofessionalsandpatientsis essentialtofixingnon-adherence. • Pharmacistsaresomeofthemostaccessiblehealthcareprofessionals. Methods-Design • DatawascollectedfromanonlinesurveythatwasadministeredtoemployeesoftheEMC corporation. • Employeesqualifiedforthesurveyiftheyhadachronicillness,pickedupamedicationfor theirchronicdiseaseinthepastsixmonths,livedintheUS,andunderstoodEnglish. • Participantsthatusedamailorderpharmacywereexcludedfromthestudy. • Thesurveyhadasetofelevenquestionswhichfocusedonmeasuringthequalityofthe patient-pharmacistrelationship. • Medicationadherencewascalculatedbyassessingproportionofdayscovered(PDC)inthe medicationclaimrecords. Results/Data-SurveyQuestions • Thissurveydatawascomparedtomedicationclaimrecordsobtainedfrom primarypharmaciesof117eligiblepatients. • Cronbach’s alphawasusedtotestthereliabilityoftheeleven-questionsurveyand wasmeasuredatanexcellentscoreof0.94. • Thesurveyscoresrangedfrom11to55withalowerscoreindicatingapoor patient-pharmacistrelationship. • Thisstudyuseda180-dayperiodtocalculatethePDCscore. Conclusion • Thisstudyhighlightstheimportanceofpharmacistinteractionswithpatientsin improvingmedicationadherence. • Futureresearchshouldevaluatedifferenttechniquestostrengthenpatientpharmacistrelationships,aswellasclinicalendpointstoassesswhetherthe patient-pharmacistrelationshipimproveshealthandqualityoflife. References 1.AlGhurair,Suliman A.,ScotH.Simpson,andLisaM.Guirguis."WhatElementsofthePatient–pharmacistRelationshipAreAssociatedwithPatient Satisfaction?"USNationalLibraryofMedicine.DoveMedicalPress,24Sept.2012.Web.28Oct.2015. 2.Brown,MarieT.,andJenniferK.Bussell."MedicationAdherence:WHOCares?"MayoClinicProceedings. MayoFoundationforMedicalEducationand Research,4Apr.2011.Web.28Oct.2015. 3.Dvorsky,James."PharmacistsRoleinPromotingMedicationAdherence."(n.d.):n.pag.AmericanPharmacistsAssociation.25Feb.2015.Web.3Mar. 2016. 4.O'Neil,Chrstine K.,Dr.,andThereseI.Poirer,Dr."ImpactofPatientKnowledge,Patient-Pharmacist Relationship,andDrugPerceptionsonAdverseDrug TherapyOutcomes."WileyOnlineLibrary.TheJournalofHumanPharmacologyandDrugTherapy,17Jan.2012.Web.28Oct.2015. 5.Quirk,Paul."SurgeonGeneralJoinswithNationalConsumersLeaguetoLaunchMedicationAdherenceAwarenessCampaign."(n.d.):n.pag.Surgeon GeneralJoinswithNationalConsumers League toLaunchMedicationAdherence Awareness Campaign.ScriptYourFuture,11May2011.Web.3Mar.2016.
