Non fulfillment adherence in a Czech outpatient department serving COPD and astma patients in one year

P. Turcáni (Brno, Czech Republic)

Source: International Congress 2017 – Does economisation of medicine transfer into benefits for patients?

Session: Does economisation of medicine transfer into benefits for patients?
Session type: Thematic Poster
Number: 2801

Disease area: Airway diseases

Abstract

Non fulfillment adherence in a Czech outpatient department serving COPD and astma patients in one year

Introduction:Adherence to medical advice reflects an active patient role in treatment. Non fulfillment adherence means the prescribed medication is never filled or initiated.

Aim: To find out how much mediacation is prescribed to COPD and astma patiens by pneumologists in the outpatient department which was not filled during one year.

Methods: From one particular insurance company, we collected data about which medications were filled in the pharmacy, and compared this to data about which medication was prescribed for patients with COPD and astma in our outpatient department.

Results: The diference between the amout of medication which was prescribed and mediation which was not filled in a pharmacy was (%;packages): ipratropium bromide (34;436), ipratropium bromide/formoterol (30;359), roflumilast (38;300), theophylline (24;598), formoterol (32;171), indacaterol (34;53), salmeterol/fluticason (26;508), tiotropium bromide (23;617), budesonide/formoterol (22;385). The total price of the prescribed-but-not-filled medication was € 30493 in one year.

Conclusion: In one year, the difference between the amount of prescribed and filled medication ranged between 22-38 % (53-617 packages) according to prescribed medication. This result can be used for making better systemic strategies to enhance adherence.

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