Telephoning the patient's pharmacy to assess adherence with asthma medications by measuring refill rate for prescriptions.
Telephoning the patient's pharmacy to assess adherence with asthma medications by measuring refill rate for prescriptions.
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致电患者的药房，通过测量处方补充率来评估哮喘药物的依从性。
DOI：
10.1016/s0022-3476(00)90019-2
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Hendeles,L
中科院分区：
文献类型：
--
作者：
Sherman,J;Hutson,A;Baumstein,S;Hendeles,L
目的确定通过致电患者药房获得的处方补充史是否比医生评估更频繁地发现对哮喘药物的依从性较差。方法研究人群包括116名接受医疗补助的持续性哮喘儿童；排除接受药物样本的患者。在一次临床访问中，肺科医生采访了患者、照顾者或两者兼而有之，并在核对表上估计了依从性。一名护士询问护理员他们是从哪里获得药物的，并打电话给66家确定的药店，询问他们的续药历史。最大可能依从性计算为补充剂量数/处方剂量数×100，平均持续163天(范围为63至365天)。根据医疗补助报销记录确定充填信息的准确性。结果药店提供的信息准确率为92%。最大潜在依从性的平均值(95%CI)茶碱为72%(65%，77%)，吸入糖皮质激素为61%(55%，68%)，色甘油为38%(23%，53%)，只有色甘油和茶碱有显著差异。在补充≤的43名患者中，医生能够识别出21名(49%)，50%的处方剂量的长期症状控制剂，以及11名过度使用沙丁胺醇的患者中，只有3名(27%)。结论医生往往无法识别依从性很差的患者。检查处方补充量是识别此类患者的一种准确而实用的方法。
ObjectiveTo determine whether a prescription refill history obtained by telephoning patients' pharmacies identifies poor adherence with asthma medications more frequently than physician assessment.MethodsThe study population consisted of 116 children with persistent asthma who were Medicaid recipients; patients who received medication samples were excluded. During a clinic visit pulmonologists interviewed patients, caretakers, or both and estimated adherence on a checklist. A nurse asked the caretakers where they obtained medications and telephoned 66 identified pharmacies for refill histories. The maximum possible adherence was calculated as the number of doses refilled/number of doses prescribed × 100 for a mean duration of 163 days (range, 63 to 365 days). The accuracy of the refill information was determined from Medicaid reimbursement records.ResultsInformation provided by pharmacies was 92% accurate. The mean (95% CI) of maximum potential adherence was 72% (65%,77%) for theophylline, 61% (55%,68%) for inhaled corticosteroids, and 38% (23%,53%) for cromolyn; only cromolyn and theophylline were significantly different. Physicians were able to identify 21 (49%) of 43 patients who refilled ≤50% of prescribed doses of long-term symptom controllers and only 3 (27%) of 11 patients who used albuterol excessively.ConclusionsPhysicians often were unable to identify patients with very poor adherence. Checking prescription refills is an accurate and practical method of identifying such patients.
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影响因子：
8
作者：
Baker, JW;Mellon, M;Walton-Bowen, K
通讯作者：
Walton-Bowen, K
儿童期哮喘死亡：识别高危患者并进行干预。
影响因子：
14.2
作者：
R. Strunk
通讯作者：
R. Strunk
DOI：
10.1016/s0091-6749(95)70315-2
发表时间：
1995
期刊：
The Journal of allergy and clinical immunology
影响因子：
--
作者：
Kotses,H;Bernstein,IL;Bernstein,DI;Reynolds,RV;Korbee,L;Wigal,JK;Ganson,E;Stout,C;Creer,TL
通讯作者：
Creer,TL
影响因子：
14.2
作者：
BIRKHEAD, G;ATTAWAY, NJ;TEUTSCH, S
通讯作者：
TEUTSCH, S
慢性哮喘儿童依从性的影响。
影响因子：
5.9
作者：
P. Cluss;L. Epstein;S. A. Galvis;P. Fireman;G. Friday
通讯作者：
G. Friday