scholarly journals Impact of a Combined Value-Based Insurance Design and Medication Therapy Management Program on Diabetes Medication Adherence

2016 ◽  
Vol 22 (11) ◽  
pp. 1303-1309 ◽  
Author(s):  
Alex Peaslee ◽  
Marleen Wickizer ◽  
Julie Olson ◽  
Robert Topp
2015 ◽  
Vol 35 (11) ◽  
pp. e159-e163 ◽  
Author(s):  
Katie M. Theising ◽  
Traci L. Fritschle ◽  
Angelina M. Scholfield ◽  
Emily L. Hicks ◽  
Michelle L. Schymik

Author(s):  
Gloria K Sam ◽  
Jobin Thomas ◽  
Riya Alexander ◽  
Sheen Ann Varughese

Objectives: The prime objective of this study is to assess knowledge, attitude, and practice (KAP) toward medications in a community of Davangere city.Methods: This community-based study was conducted for 6 months using medication therapy management aspects. Ethical clearance was obtainedfrom the Institutional Ethical Committee. Patients above 18 years of age who were willing to participate were included in the study. The data werecollected using specific data collection forms, and KAP toward medications of each patient was assessed using KAP questionnaire. Medicationadherence was analyzed using Morisky Medication Adherence Scale 4. Patient counseling about disease, medication, and lifestyle modification wasgiven, and the orally taking household drugs were segregated according to class and specific clinical uses.Results: Out of 129 patients, 58.1% were male. Out of 19 diseases encountered during the study, diabetes mellitus (32.56%) and hypertension(25.58%) were most prevalent. Majority of patients (63.57%) were prescribed with cardiovascular agents. Paracetamol was found as a commonhousehold drug. Sixty-nine percent of patients were procuring medication directly from the pharmacy and the remaining 31% were procuring theirmedication after consulting the physician. Mean scores of KAP in basal and endpoint assessment were compared using Student’s t-test. p value wasfound to be <0.000.Conclusion: The study tried to entitle the name of pharmacist as a patient educator who gives proper guidance to the patient and family membersabout the disease, domestic drug management, lifestyle modification, etc. The result of efficient patient counseling will be reflected on the properadherence of patient toward the medication and improved quality of life.Keywords: Knowledge, attitude and practice (KAP), Medication therapy management (MTM), Morisky medication adherence Scale – 4 (MMAS-4),patient education.


2012 ◽  
Vol 52 (6) ◽  
pp. 768-776 ◽  
Author(s):  
Leslie A. Shimp ◽  
Suzan N. Kucukarslan ◽  
Jodie Elder ◽  
Tami Remington ◽  
Trisha Wells ◽  
...  

2017 ◽  
Vol 57 (1) ◽  
pp. 95-101.e1
Author(s):  
Audrey Umbreit ◽  
Emily Holm ◽  
Kelsey Gander ◽  
Kelsie Davis ◽  
Kristina Dittrich ◽  
...  

2007 ◽  
Vol 10 (3) ◽  
pp. A204-A205
Author(s):  
SA Miller ◽  
Y Mu ◽  
Y Lou ◽  
Z Huang ◽  
R Radzicki ◽  
...  

Author(s):  
Rachma Malina ◽  
Nanang Munif Yasin ◽  
Chairun Wiedyaningsih

Diabetes mellitus is a chronic metabolic disorder that is characterized by hyperglycemia. Diabetes mellitus need appropriate therapeutic management, because it can cause complications. On of the services that can do to improve diabetes control is Medication Therapy Management (MTM). MTM is a new service that will help pharmacist to improve patient adherence and quality of life. This study aims to determine the effect of based services MTM on treatment adherence and quality of life in patients with diabetes mellitus. This study was an experimental study using a quasi-experimental with one group pretest and posttest design which was conducted in Tegalrejo, Jetis and Gedontengen Health Center Yogyakarta City. Variables measured were medication adherence using the Morisky-Green Levine Medication Adherence Scale (MGLS) questionnaire and quality of life using Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) before and after MTM services. The effect of MTM on medication adherence was analyzed using Wilcoxon test and the effect of MTM on quality of life using Paired T-Test. The patients participate in this study were 20 people, with average score of adherences before application of MTM was 2.20±0.410 to 1.80±0.616 after the application of MTM (P=0.005) and the average of the patient's quality of life was 73.82±7.918, increased to 76.42±5,623 after MTM service (P=0.033). Statistically mean, there is a difference in adherence and quality of life before and after MTM services. Therefore, it can be concluded that MTM-based services performed by pharmacists have a significant effect on improving medication adherence and quality of life for DM patients. Moreover, it can facilitate monitoring patient therapy, and identification of problems related to the treatment.


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