Friday, January 15, 2010
What Patient Characteristics Influence Use of Mail-Service Over Local Pharmacies?
A recent article in the American Journal of Managed Care identified better compliance (84.7% vs 76.9%) in patients using mail-service rather than a local Kaiser pharmacy. However, the self-selected groups had much different characteristics such as race, socioeconomic deprivation score, Medicare versus commercial insurance and financial incentives to use mail-service. I am still not sure whether place of service matters in most situations. I think the services any pharmacy provides to improve adherence makes a bigger difference. These include reminders, compliance monitoring and notification, incentives and personal connections with a pharmacist.
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1 comment:
It does however affect the bottom line.
Driving patients to mail creates a financial model driven around generic compliance not medical efficacy
BP
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