Primary prescription adherence for obstructive lung disease in a primary care population
Abstract Background The objective of this study was to determine primary prescription adherence for obstructive lung diseases (e.g., asthma, COPD) in an adult primary care patient population over a 3-year period. Methods A retrospective analysis of electronic medical record and administrative data w...
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doaj-26d8a344f64e4dca909cd98c670b47192021-06-13T11:30:08ZengBMCAllergy, Asthma & Clinical Immunology1710-14922021-06-011711410.1186/s13223-021-00540-7Primary prescription adherence for obstructive lung disease in a primary care populationAlexander G. Singer0Alan Katz1Lisa LaBine2Lisa M. Lix3Marina Yogendran4Ian Sinha5Elissa M. Abrams6Department of Family Medicine, University of ManitobaDepartments of Family Medicine and Community Health Sciences, University of ManitobaDepartment of Family Medicine, University of ManitobaDepartment of Community Health Sciences, University of ManitobaManitoba Centre for Health Policy, University of ManitobaDivision of Child Health, University of LiverpoolDepartment of Pediatrics, Section of Allergy and Clinical Immunology, University of ManitobaAbstract Background The objective of this study was to determine primary prescription adherence for obstructive lung diseases (e.g., asthma, COPD) in an adult primary care patient population over a 3-year period. Methods A retrospective analysis of electronic medical record and administrative data was performed to determine primary adherence, defined as dispensation of a new prescription within 90 days of the date the prescription was written. Multivariable logistic regression models were used to test predictors of prescription primary adherence. Results Of 13,220 prescriptions for obstructive airway disease, 75.9% (N = 10,038) were filled. In multivariate analysis, depression, certain age groups (18–44 years), higher income quartile were associated with reduced prescription adherence. However, 1–2 ER visits in the previous year (compared to no ER visits), number of ambulatory visits in the previous year, and number of hospitalizations in the previous year, did not increase the likelihood of prescription adherence. Interpretation This study provides important insights about factors associated with prescription nonadherence and is the first study examining primary medication adherence with medications for obstructive lung disease in adults, providing indications of prescription nonadherence patterns among a broad population.https://doi.org/10.1186/s13223-021-00540-7AsthmaObstructive lung diseasePrescription adherence |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alexander G. Singer Alan Katz Lisa LaBine Lisa M. Lix Marina Yogendran Ian Sinha Elissa M. Abrams |
spellingShingle |
Alexander G. Singer Alan Katz Lisa LaBine Lisa M. Lix Marina Yogendran Ian Sinha Elissa M. Abrams Primary prescription adherence for obstructive lung disease in a primary care population Allergy, Asthma & Clinical Immunology Asthma Obstructive lung disease Prescription adherence |
author_facet |
Alexander G. Singer Alan Katz Lisa LaBine Lisa M. Lix Marina Yogendran Ian Sinha Elissa M. Abrams |
author_sort |
Alexander G. Singer |
title |
Primary prescription adherence for obstructive lung disease in a primary care population |
title_short |
Primary prescription adherence for obstructive lung disease in a primary care population |
title_full |
Primary prescription adherence for obstructive lung disease in a primary care population |
title_fullStr |
Primary prescription adherence for obstructive lung disease in a primary care population |
title_full_unstemmed |
Primary prescription adherence for obstructive lung disease in a primary care population |
title_sort |
primary prescription adherence for obstructive lung disease in a primary care population |
publisher |
BMC |
series |
Allergy, Asthma & Clinical Immunology |
issn |
1710-1492 |
publishDate |
2021-06-01 |
description |
Abstract Background The objective of this study was to determine primary prescription adherence for obstructive lung diseases (e.g., asthma, COPD) in an adult primary care patient population over a 3-year period. Methods A retrospective analysis of electronic medical record and administrative data was performed to determine primary adherence, defined as dispensation of a new prescription within 90 days of the date the prescription was written. Multivariable logistic regression models were used to test predictors of prescription primary adherence. Results Of 13,220 prescriptions for obstructive airway disease, 75.9% (N = 10,038) were filled. In multivariate analysis, depression, certain age groups (18–44 years), higher income quartile were associated with reduced prescription adherence. However, 1–2 ER visits in the previous year (compared to no ER visits), number of ambulatory visits in the previous year, and number of hospitalizations in the previous year, did not increase the likelihood of prescription adherence. Interpretation This study provides important insights about factors associated with prescription nonadherence and is the first study examining primary medication adherence with medications for obstructive lung disease in adults, providing indications of prescription nonadherence patterns among a broad population. |
topic |
Asthma Obstructive lung disease Prescription adherence |
url |
https://doi.org/10.1186/s13223-021-00540-7 |
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