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Open AccessArticle

Enhancing Primary Adherence to Prescribed Medications through an Organized Health Status Assessment-Based Extension of Primary Healthcare Services

1
Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Debrecen 4012, Hungary
2
Doctoral School of Health Sciences, University of Debrecen, Debrecen 4012, Hungary
3
Semmelweis Center for Health Promotion, Medical Faculty, Semmelweis University, Budapest 1094, Hungary
4
Department of Financing, National Health Insurance Fund, Budapest 1139, Hungary
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3797; https://doi.org/10.3390/ijerph16203797
Received: 6 September 2019 / Revised: 1 October 2019 / Accepted: 6 October 2019 / Published: 9 October 2019
(This article belongs to the Section Health Care Sciences & Services)
This study was part of monitoring an intervention aimed at developing a general practitioner cluster (GPC) model of primary healthcare (PHC) and testing its effectiveness in delivering preventive services integrated into the PHC system. The aim was to demonstrate whether GPC operation could increase the percentage of drugs actually dispensed. Using national reference data of the National Health Insurance Fund for each anatomical–therapeutic chemical classification ATC group of drugs, dispensed-to-prescribed ratios standardized (sDPR) for age, sex, and exemption certificate were calculated during the first quarter of 2012 (before-intervention) and the third quarter of 2015 (post-intervention). The after-to-before ratios of the sDPR as the relative dispensing ratio (RDR) were calculated to describe the impact of the intervention program. The general medication adherence increased significantly in the intervention area (RDR = 1.064; 95% confidence interval (CI): 1.054–1.073). The most significant changes were observed for cardiovascular system drugs (RDR = 1.062; 95% CI: 1.048–1.077) and for alimentary tract and metabolism-specific drugs (RDR = 1.072; 95% CI: 1.049–1.097). The integration of preventive services into a PHC without any specific medication adherence-increasing activities is beneficial for medication adherence, especially among patients with cardiovascular, alimentary tract, and metabolic disorders. Monitoring the percentage of drugs actually dispensed is a useful element of PHC-oriented intervention evaluation frames. View Full-Text
Keywords: medication adherence; relative dispensing ratio; primary healthcare; health status assessment; patient–physician cooperation medication adherence; relative dispensing ratio; primary healthcare; health status assessment; patient–physician cooperation
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MDPI and ACS Style

Harsha, N.; Papp, M.; Kőrösi, L.; Czifra, Á.; Ádány, R.; Sándor, J. Enhancing Primary Adherence to Prescribed Medications through an Organized Health Status Assessment-Based Extension of Primary Healthcare Services. Int. J. Environ. Res. Public Health 2019, 16, 3797.

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