Predictors of Medication-Refill Adherence in an Indigent Rural Population

Objective. We evaluated the association of medication refill adherence with demographic and prescription characteristics to determine whether such factors could guide intervention strategies in an indigent rural population. Methods. The study was conducted at a University-based internal medicine pra...

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Bibliographic Details
Published in:Medical care 2002-12, Vol.40 (12), p.1294-1300
Main Authors: Schectman, Joel M., Bovbjerg, Viktor E., Voss, John D.
Format: Article
Language:English
Subjects:
African Americans
Age
Antihypertensives
Diabetes
Diabetes Mellitus - drug therapy
Drug Prescriptions
Female
Humans
Hypercholesterolemia - drug therapy
Hypertension
Hypertension - drug therapy
Male
Medical Indigency
Medications
Middle Aged
Patient Compliance
Pharmacies
Physicians
Prescription drugs
Regression Analysis
Rural Population
Social Class
Treatment Refusal
Virginia
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Summary:Objective. We evaluated the association of medication refill adherence with demographic and prescription characteristics to determine whether such factors could guide intervention strategies in an indigent rural population. Methods. The study was conducted at a University-based internal medicine practice serving an indigent rural population. Refill data for diabetes, hypertension, and hypercholesterolemia drugs from a closed pharmacy system were used to calculate mean adherence (for all drugs taken by each patient) and minimum adherence (that of the least adhered to drug) for 1984 patients during a 9-month period. Results. Mean refill adherence was
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-200212000-00016