Study finds mail-order pharmacies may improve patients’ medication adherence
NEW YORK Buying medicine by mail may encourage patients to stick to their doctor-prescribed medication regimen, new research suggested.
Researchers from UCLA and Kaiser Permanente’s Division of Research in Oakland, Calif., found that patients with diabetes, high blood pressure and high cholesterol who ordered their medications by mail were more likely to take them as prescribed by their physicians than patients who obtained medications from a local pharmacy.
For the 12-month study, researchers analyzed medication refill data from 2006 and 2007 for 13,922 Kaiser Permanente members in Northern California. They defined “good adherence” as having medication available and on-hand at least 80% of the time. The researchers found that 84.7% of patients who received their medications by mail at least two-thirds of the time stuck to their physician-prescribed regimen, compared with 76.% of those who picked up their medications at traditional “brick-and-mortar” Kaiser Permanente pharmacies.
“The field of medication adherence research typically focuses on patient factors for poor adherence, leading to a ‘blame the patient’ approach for nonadherence,” said O. Kenrik Duru, the study’s lead researcher and an assistant professor in the division of general internal medicine and health services research at the David Geffen School of Medicine at UCLA. “Our work helps to place this issue in a larger perspective. Our findings indicate that mail-order pharmacies streamline the medication-acquisition process, which is associated with better medication adherence.”
The study findings appear in the online edition of the American Journal of Managed Care. Grants from the Centers for Disease Control and Prevention and the National Institute of Diabetes and Digestive and Kidney Diseases funded this study.
Profession is in ‘revolutionary’ times, says NACDS’ top pharmacy official
NEEDHAM, Mass. Pharmacy practitioners need to recognize that the profession is now in the midst of “revolutionary” changes and adapt to a far more proactive role in patient outreach and community care, a top executive with the National Association of Chain Drug Stores told more than 300 leaders in health care, business, government and community activism here Tuesday.
As the health paradigm shifts, pharmacists need to leverage their strengths as “medication experts” who can coordinate healthcare efforts within the community, and put patients at the center of those efforts, said Edith Rosato, SVP pharmacy affairs for NACDS and president of the NACDS Foundation. Rosato was addressing a meeting of the Massachusetts Health Council, the nation’s the largest and oldest council devoted to health issues.
The subject of her talk: “Transforming Pharmacy Practice: Managing a Changing Environment.” In her address, Rosato tracked community pharmacy’s evolving role and its ability, as a profession, to adapt to changes in the U.S. healthcare system.
“Pharmacy is embarking on revolutionary times,” Rosato asserted. ”It is only fitting that in the nation’s birthplace — Massachusetts — I lay out the importance of revolutionary change in our field. Only by recognizing this change can we learn to adapt our protocols and practices to better position pharmacy in medication adherence activities, which [improving] health outcomes for patients while also reducing overall healthcare expenditures.
“As the face of neighborhood health care, it is not only our duty to transform to better serve our patients — it is our responsibility,” she added.
By utilizing the accessibility and credibility of pharmacy with the effective use of health information technology and management efficiencies, Rosato told members of the council, pharmacists could play an even bigger role in proactive and integrated patient-centric health care. Among the tools they already wield, she said, are medication therapy management services, vaccinations, patient counseling, and prevention-and-wellness programs.
In a bit of irony, Rosato’s appearance in Massachusetts came as voters in this state were dealing the Obama administration a serious setback in its health-reform efforts by electing Republican Scott Brown to succeed Edward Kennedy, one of the Senate’s most vocal champions of health reform before his death last year.
Brown has vowed to fight reform legislation as the 41st Republican senator, and his election breaks the filibuster-proof, 60-vote majority Democrats have held in the Senate.
JDRF, Axxam, Fast Forward to develop diabetes, MS treatments
NEW YORK A group of companies and organizations plan to collaborate to develop new treatments for multiple sclerosis and Type 1 diabetes.
Italian life sciences company Axxam, the Juvenile Diabetes Research Foundation and Fast Forward, the commercial drug development arm of the National Multiple Sclerosis Society, will fund the discovery of new drugs for the two autoimmune diseases.
Axxam will screen its chemical library to identify compounds that can target immune system ion channels, pores in the surface of immune cells that allow the cells to activate. Recent research has shown that the immune cells of patients with MS and Type 1 diabetes have high levels of the Kv1.3 ion channel, and the resulting hyperactivity contributes to dysfunction of the immune system. Meanwhile, the JDRF and Fast Forward will seek to lessen the risk of drug discovery and accelerate the development of new therapies.
“We are pleased to partner with Axxam and JDRF to advance the development of new treatments for [Type 1 diabetes] and MS,” Fast Forward president Timothy Coetzee said.