{"id":15762,"date":"2019-07-19T10:02:32","date_gmt":"2019-07-19T15:02:32","guid":{"rendered":"https:\/\/www.instymeds.com\/?page_id=15762"},"modified":"2019-11-10T21:30:02","modified_gmt":"2019-11-11T03:30:02","slug":"adherence","status":"publish","type":"page","link":"https:\/\/www.instymeds.com\/benefits\/adherence\/","title":{"rendered":"Adherence"},"content":{"rendered":"\t\t
The main goal of healthcare professionals is helping patients back to wellness.\u00a0 And when it comes to outpatients with acute illnesses the path to wellness should be as short as possible.\u00a0 In the US this usually means prescribing medications: 74-80% of ER and outpatient visits result in drug therapy.1<\/sup><\/p> So once a patient gets a prescription, all that he or she has to do is just fill it to start feeling better.\u00a0 Pretty simple, right?\u00a0 The reality is more complicated.<\/p> Despite the explosion of new retail pharmacy stores, mail order drugs and addition of onsite walk-in clinics at chain pharmacies, primary non-adherence hasn’t budged.4<\/sup><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t This failure to fill new prescriptions \u2013 called primary non-adherence to medications<\/span> \u2013 is a significant driver in the national non-adherence epidemic of staggering proportions.\u00a0 In its broadest terms medication adherence is defined as a process that begins with the receipt of the medication, continues with correct usage and repeats with refills, if necessary.5<\/sup><\/p> Some estimates put the number of patients not taking chronic medications as high as 50% while others state that as much as half of all prescriptions may not be taken.6<\/sup><\/span><\/strong><\/p> While the effects of primary non-adherence have not been studied exclusively, the fact that up to 30% of all prescriptions are not picked up makes primary non-adherence a large group in the overall non-adhering population.<\/p> \u201cDrugs don\u2019t work in patients who don\u2019t take them\u201d,<\/strong><\/span> said C. Everett Koop, MD, who was widely regarded as the most influential Surgeon General in American history for his role in changing public attitudes about smoking.<\/span><\/p><\/blockquote> Patients who fail to pick up prescriptions are much more likely to end up sicker and need additional care.<\/span> Given the magnitude of primary non-adherence, drugs certainly don\u2019t work in people who never fill their prescriptions.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t So why do so many outpatients fail to pick up prescriptions and undermine their own recoveries?\u00a0 Researchers studying the topic have acknowledged challenges with identifying and measuring the patient behaviors that drive primary non-adherence.5<\/sup>\u00a0<\/p> As an Emergency Room physician he had an insider’s understanding of some obvious but overlooked causes of non-adherence.\u00a0 He saw that sending patients on a quest for medications, regardless of their physical or mental state and mobility challenges, resulted in suboptimal filling of prescriptions.\u00a0<\/p> Their job \u2013 never mentioned because it\u2019s universally implied \u2013 is to get to a pharmacy and wait for their prescriptions to be filled before they can start their medications.\u00a0 It’s a job whose critical importance in the recovery process is taken for granted due to its seemingly trivial nature.\u00a0 Yet, for patients who are sick, tired, in pain or those caring for sick children and dependents, it’s the last thing they want to be doing.<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t InstyMeds eliminates patient jobs by allowing patients to pick up prescriptions at the point of care.\u00a0 A patient can get all her medications quickly from an InstyMeds dispenser right after leaving her provider’s office and start feeling better faster!<\/span><\/p> And when providers make picking up prescriptions so easy, patients almost always do: <\/span><\/p> Practice shows that when more patients fill their medications, outcomes improve.\u00a0 This was demonstrated by a study at the University of Maryland Medical Center10<\/sup> as well as by our own 2019 InstyMeds Outcomes Study:\u00a0<\/span><\/p>Research shows that 20-30% of all new prescriptions written NEVER get filled by patients.2,3 <\/sup><\/span><\/strong><\/h5>
The High Costs of Non-Adherence<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Non-adherence in all its forms imposes high costs on healthcare providers, payers and the society at large.<\/span><\/strong><\/h5>
Patient Jobs: Healthcare's Best-Known Secret<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
Dr. Ken Rosenblum, who founded InstyMeds, approached non-adherence from the patient’s perspective.<\/span><\/strong>\u00a0<\/h5>
Dr. Rosenblum realized that in our healthcare system prescribing medications to patients also meant giving them a job to do.<\/span><\/strong><\/h5>
View the jobs and challenges experienced by outpatients <\/em><\/span><\/h5>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
InstyMeds: Eliminate Patient Jobs to Improve Adherence and Outcomes<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
94% of aggregate InstyMeds<\/span> prescriptions are filled, significantly exceeding the industry average of 70%.\u00a0<\/span><\/strong><\/h5>
InstyMeds demonstrated a 75% reduction in return visits for patients with UTI diagnosis.\u00a0 In other words, improving primary adherence led to improved outcomes.<\/span><\/strong><\/h5>