Patient response to insurer-led intervention for medication adherence - a pilot study based on claims data in Korea
- Authors
- Sohn, Hyun Soon; Jang, Sunmee; Lee, Ju-Yeun; Han, Euna
- Issue Date
- Jan-2016
- Publisher
- DUSTRI-VERLAG DR KARL FEISTLE
- Keywords
- telephone-initiated counseling; medication adherence; medication possession ratio; chronic diseases
- Citation
- INTERNATIONAL JOURNAL OF CLINICAL PHARMACOLOGY AND THERAPEUTICS, v.54, no.1, pp.28 - 35
- Journal Title
- INTERNATIONAL JOURNAL OF CLINICAL PHARMACOLOGY AND THERAPEUTICS
- Volume
- 54
- Number
- 1
- Start Page
- 28
- End Page
- 35
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/8733
- DOI
- 10.5414/CP202409
- ISSN
- 0946-1965
- Abstract
- Objective: This study was designed to investigate patient responses to a medication counseling intervention program piloted by the National Health Insurance Service (NHIS), the national health insurer in Korea, to improve medication management in patients with hypertension, hyperlipidemia, or diabetes. Methods and materials: Interventions were conducted from July to September 2013 through direct mailing followed by two telephone-initiated counseling sessions for the medication discontinuation group (< 80% medication possession ratio (MPR) and >= 2 months of discontinuation) and the medication over-possession group (> 150% MPR). The telephone intervention was applied through two models: model 1 (counseling by NHIS staff only) and model 2 (counseling by NHIS staff with contract-based working pharmacists in community pharmacies). Multivariate logistic regression analysis was performed to identify factors affecting favorable responses of patients to the telephone-initiated intervention. Patient responses to the telephone-initiated intervention were evaluated by a counselor. Results: In all, 891 patients were counseled via telephone. Patient responses to the telephone -initiated intervention were favorable in 57.6%, neutral in 17.4% and not favorable in 24.9% overall. Counseling by NHIS staff together with pharmacists (model 2) produced more favorable responses from patients than counseling by NHIS staff alone (model 1) (OR 2.73, 95% CI 1.97 - 3.77). Conclusion. Our findings of favorable responses to interventions support a personalized approach by the NHIS to improve patient behavior for medication adherence.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 약학대학 > 약학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/8733)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.