Primary prescription adherence for obstructive lung disease in a primary care population

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dc.contributor.authorSinger, Alexander G.
dc.contributor.authorKatz, Alan
dc.contributor.authorLaBine, Lisa
dc.contributor.authorLix, Lisa M.
dc.contributor.authorYogendran, Marina
dc.contributor.authorSinha, Ian
dc.contributor.authorAbrams, Elissa M.
dc.date.accessioned2021-07-01T04:12:50Z
dc.date.issued2021-06-12
dc.date.updated2021-07-01T04:12:50Z
dc.description.abstractAbstract Background The objective of this study was to determine primary prescription adherence for obstructive lung diseases (e.g., asthma, COPD) in an adult primary care patient population over a 3-year period. Methods A retrospective analysis of electronic medical record and administrative data was performed to determine primary adherence, defined as dispensation of a new prescription within 90 days of the date the prescription was written. Multivariable logistic regression models were used to test predictors of prescription primary adherence. Results Of 13,220 prescriptions for obstructive airway disease, 75.9% (Nā€‰=ā€‰10,038) were filled. In multivariate analysis, depression, certain age groups (18ā€“44 years), higher income quartile were associated with reduced prescription adherence. However, 1ā€“2 ER visits in the previous year (compared to no ER visits), number of ambulatory visits in the previous year, and number of hospitalizations in the previous year, did not increase the likelihood of prescription adherence. Interpretation This study provides important insights about factors associated with prescription nonadherence and is the first study examining primary medication adherence with medications for obstructive lung disease in adults, providing indications of prescription nonadherence patterns among a broad population.
dc.identifier.citationAllergy, Asthma & Clinical Immunology. 2021 Jun 12;17(1):57
dc.identifier.urihttps://doi.org/10.1186/s13223-021-00540-7
dc.identifier.urihttp://hdl.handle.net/1993/35728
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.titlePrimary prescription adherence for obstructive lung disease in a primary care population
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciencesen_US
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