One in 3 prescriptions are never redeemed: Primary nonadherence in an outpatient clinic - 24/04/13
, Stig Ejdrup Andersen, MD, PhD b, Eva Benfeldt, MD, PhD c, Jørgen Serup, MD, DMSc a
Reprint requests: Andreas Storm, MD, Department of Dermatology, Copenhagen University Hospital, Bispebjerg, Bispebjerg Bakke 23, DK-2400 Copenhagen NV, Denmark.Abstract |
Background |
Despite being essential to medication adherence, redemption of initial prescriptions (ie, primary adherence) has been investigated only sparsely.
Objectives |
The objectives were to determine the frequency and risk factors for primary nonadherence among outpatients with dermatologic conditions.
Methods |
Every 15th day during 2006, all patients receiving a prescription for an initial treatment with a previously untried medication were studied. Redemptions were traced in an electronic register after 4 weeks. Exclusions were a result of identical treatments within the last 6 months or hospitalizations within 4 weeks.
Results |
In all, 30.7% of the 322 eligible patients did not collect their medication. Patients with psoriasis were least adherent with nearly 50% of the prescriptions being unredeemed.
Limitations |
Only initial prescriptions for previously untried medications issued to hospital outpatients were studied.
Conclusions |
For the clinician, primary nonadherence is an essential differential diagnosis when a given therapy fails.
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| Supported by LEO Pharma Nordic. |
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| Conflicts of interest: None declared. |
Vol 59 - N° 1
P. 27-33 - luglio 2008 Ritorno al numero
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