Hospital Variation in Adherence Rates to Secondary Prevention Medications and the Implications on Quality.

ABSTRACT: BACKGROUND:Medication adherence is important to improve the long-term outcomes after acute myocardial infarction (MI). We hypothesized that there is significant variation among US hospitals in terms of medication adherence after MI, and that patients treated at hospitals with higher medication adherence after MI will have better long-term cardiovascular outcomes. METHODS:We identified 19 704 Medicare patients discharged after acute MI from 347 US hospitals participating in the ACTION Registry-GWTG (Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With the Guidelines) from January 2, 2007, to October 1, 2010. Using linked Medicare Part D prescription filling data, medication adherence was defined as proportion of days covered >80% within 90 days after discharge. Cox p

SUBMITTER: Mathews R 

PROVIDER: S-EPMC5953793 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature