Moo-Young Joseph A, Suarez Elizabeth A, Adamson Adewole S
Department of Dermatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina Department of Dermatology, University of Texas Southwestern, Dallas, Texas Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Dermatol Online J. 2018 Feb 15;24(2):13030/qt4zf5v8br.
Primary nonadherence, a form of prescription nonadherence, is defined as failure to fill and pick up a prescription medication. Little is known about the relationship between distance to pharmacy and primary nonadherence in dermatology. In this study, we investigated the association between primary nonadherence and distance between a patient's home and pharmacy. We focused on a low-income patient population within the dermatology clinic of a large, urban county hospital system in which patients were enrolled in a pharmacy benefit within a closed-system. Among 678 patients who were prescribed a total of 1156 prescription medications for dermatologic conditions, 11.7% did not pick up any of their prescriptions. After adjusting for patient demographics of race/ethnicity, sex, age, language, and relationship status, there was no association between primary nonadherence and distance traveled between a patient's home and pharmacy. Results of this study are consistent with other studies in non-dermatologic patients and suggtableest that distance from a pharmacy may not be strongly associated with primary nonadherence for dermatologic medications.
原发性不依从是处方不依从的一种形式，定义为未取走处方药物。关于皮肤科患者到药房的距离与原发性不依从之间的关系，目前所知甚少。在本研究中，我们调查了原发性不依从与患者家庭和药房之间距离的关联。我们关注的是一家大型城市县医院系统皮肤科诊所内的低收入患者群体，这些患者参加了封闭式系统中的药房福利计划。在总共开具了1156种皮肤科疾病处方药物的678名患者中，11.7%的患者未取走任何处方药物。在对患者的种族/民族、性别、年龄、语言和婚姻状况等人口统计学因素进行调整后，原发性不依从与患者家庭和药房之间的距离没有关联。本研究结果与其他针对非皮肤科患者的研究一致，表明到药房的距离可能与皮肤科药物的原发性不依从没有强烈关联。
