The Dog Ate My Meds

The Dog Ate My Meds DOCS TALK PATIENT ADHERENCE 10 59% 26% Extremely important 8 11% On a scale of 1-10, how important do you 2% 6. 1% feel that medication 2-5 0% adherence is to 1% Extremely unimportant clinical outcomes? Primary Nonadherence What is your estimate of the percentage of prescriptions that you write that are never filled even once? Prescriptions Responses Less than 10% 34% 10-15% 25% 15-20% 20% 20-25% 12% 25-30% 8% More than 30% 1% Secondary Nonadherence What is your estimate of the percentage of patients prescribed a new medication by you, who fill at least once, but then quit taking the medication within the first 12 months? (Don't count medication switches authorized by you.) 38% 22% 15% 11% 11% 3% Less than 10-20% 20-30% 30-40% 40-50% More than 10% 50% Patients How adherent to a medication, at minimum, does a patient need to be in order to benefit from that medication in terms of improved clinical outcomes? 3 XI LLLLI Adherence Responses 50% 3% 60% 8% 70% 16% 80% 25% 90% 42% other 6% Rank-order the following entities or people in terms of their responsibility to improve medication adherence rates. (#1=the most responsibility, #5=the least responsibility) 3 Employers - tie - Pharmaceutical companies Patients Healthcare Insurance themselves providers companies For each of the following interventions designed to improve medication adherence, assign a level of influence or potential influence. 19 14 15 25 27 34 56 41 47 48 53 52 57 36 37 40 39 22 9. 8. Rewards Co-pay Education Reminder pill Reminder Reminder Reminder programs discounts bottle or emails or text phone calls letters other devices messages Strong Influence Moderate Influence Weak or No Influence If one particular medication (compared with competitors in the same class) sponsored a new innovative medication adherence service for patients on that medication, how would that influence your view of that medication? 34% It would not influence my view at all. I might be more likely to prescribe it over competitors. 38% 19% I would be more likely to I would view it in a more positive prescribe it over competitors light, but this would not necessarily sway my prescribing preferences. (assuming other factors cost, side effects, etc, are similar). What are the reasons your patients have given you as to why they don't take their meds? "My blood pressure is normal so I stopped taking my meds." "The dog ate my meds." "A friend had a bad "Someone had some leftover medication that I think was the same, so I took it." reaction to that medication." View full white paper at: Health SPríze O www.healthprize.com 20 Marshall Street, Suite 220, Norwalk, CT 06854 Phone: (203) 957-3400 @healthprize Responses