Herrera Marín Robinson, Estrada Acevedo Jorge Ivan, Restrepo Jimenez Ana Maria
+helPharma IPS, integrantes del comité de investigación..
+helPharma IPS, Coordinador de comité de investigación. Medellín. Colombia..
Farm Hosp. 2015 Jan 1;39(1):6-12. doi: 10.7399/fh.2015.39.1.7804.
currently is recognized the achieving challenge a adequate adherence. There are multiple methods to detect whether a patient is non-adherent, including claims history of drugs in pharmacy. This method has been considered adequate.
To determine the association between care by an patient care team (including an pharmacist) and compliance with the claim of medicines in pharmacy.
case-control study in patients with asthma, chronic obstructive pulmonary disease or allergic rhinitis, they claimed their medicines in pharmacies between October of 2012 and November 2013 (n = 526) .was defined as a case the patients that during the observation period claimed their drugs in pharmacy >95% of the time (n: 263). For univariate analysis absolute and relative frequencies and summary measures were used. For binary analysis, contingency tables, chi-square tests, t-Student (Mann-Whitney U) and ANOVA (Kruskal-Wallis H). The statistical measure of force used was the odds ratio. Was performed multivariate logistic regression.
78.3% of cases and 47.1% of controls had been treated by an interdisciplinary group (p<0,001), which had an exposure time of 1.75 (interquartile range 0.79 to 2.34) and 0.32 years (interquartile range 0.24 to 1.02) years, respectively(p<0,001). The cases claimed their drugs in pharmacy 2.52 times more than controls (OR ajusted 2.52 [1.17 to 5.42]).Conclusions: be attended by an patient care team was associated with greater compliance with the claim of medicines in pharmacy.
目前人们认识到实现充分依从性具有挑战性。有多种方法可检测患者是否未依从，包括药房的药品报销记录。这种方法被认为是足够的。
确定患者护理团队（包括药剂师）的护理与药房药品报销依从性之间的关联。
对哮喘、慢性阻塞性肺疾病或过敏性鼻炎患者进行病例对照研究，这些患者在2012年10月至2013年11月期间在药房报销药品（n = 526）。在观察期内药房药品报销时间>95%的患者被定义为病例（n = 263）。单变量分析使用绝对和相对频率以及汇总指标。二元分析使用列联表、卡方检验、t检验（曼-惠特尼U检验）和方差分析（克鲁斯卡尔-沃利斯H检验）。使用的效应统计量是比值比。进行多变量逻辑回归分析。
78.3%的病例和47.1%的对照接受过跨学科团队的治疗（p<0.001），病例组和对照组的暴露时间分别为1.75年（四分位间距0.79至2.34年）和0.32年（四分位间距0.24至1.02年）（p<0.001）。病例在药房报销药品的次数是对照组的2.52倍（调整后的OR为2.52 [1.17至5.42]）。结论：由患者护理团队护理与药房药品报销的更高依从性相关。
