One in 3 prescriptions are never redeemed: Primary nonadherence in an outpatient clinic

Andreas Storm*, Stig Ejdrup Andersen, Eva Benfeldt, Jørgen Serup

*Corresponding author af dette arbejde

    Publikation: Bidrag til tidsskriftArtikelForskningpeer review


    Background: Despite being essential to medication adherence, redemption of initial prescriptions (ie, primary adherence) has been investigated only sparsely. Objectives: The objectives were to determine the frequency and risk factors for primary nonadherence among outpatients with dermatologic conditions. Methods: Every 15th day during 2006, all patients receiving a prescription for an initial treatment with a previously untried medication were studied. Redemptions were traced in an electronic register after 4 weeks. Exclusions were a result of identical treatments within the last 6 months or hospitalizations within 4 weeks. Results: In all, 30.7% of the 322 eligible patients did not collect their medication. Patients with psoriasis were least adherent with nearly 50% of the prescriptions being unredeemed. Limitations: Only initial prescriptions for previously untried medications issued to hospital outpatients were studied. Conclusions: For the clinician, primary nonadherence is an essential differential diagnosis when a given therapy fails.

    Sider (fra-til)27-33
    Antal sider7
    TidsskriftJournal of the American Academy of Dermatology
    Udgave nummer1
    StatusUdgivet - 1 jul. 2008


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