Disagreement between pharmacy claims and direct interview to identify patients with non-adherence to chronic cardiometabolic medications.

ABSTRACT:

Background

Accurate methods of identifying patients with suboptimal adherence to cardiometabolic medications are needed, and each approach has benefits and tradeoffs.

Methods

We used data from a large trial of patients with poorly controlled cardiometabolic disease and evidence of medication non-adherence measured using pharmacy claims data whose adherence was subsequently assessed during a telephone consultation with a clinical pharmacist. We then evaluated if the pharmacist assessment agreed with the non-adherence measured using claims. When pharmacist and claims assessments disagreed, we identified reasons why claims were insufficient and used multivariable modified Poisson regression to identify patient characteristics associated with disagreement.

Results

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SUBMITTER: Haff N 

PROVIDER: S-EPMC10281352 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature