Unfilled prescriptions in pediatric primary care

Rachael T. Zweigoron*, Helen Binns, Robert R Tanz

*Corresponding author for this work

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND AND OBJECTIVES: Filling a prescription is the important first step in medication adherence, but has not been studied in pediatric primary care. The objective of this study was to use claims data to determine the rate of unfilled prescriptions in pediatric primary care and examine factors associated with prescription filling. METHODS: This retrospective observational study of pediatric primary care patients compares prescription data from an electronic medical record with insurance claims data. Illinois Medicaid provided claims data for 4833 patients who received 16 953 prescriptions during visits at 2 primary care sites over 26 months. Prescriptions were compared with claims to determine filling within 1 day and 60 days. Clinical and demographic variables significant in univariate analysis were included in logistic regression models. RESULTS: Patients were 51% male; most (84%) spoke English and were African American (38.7%) or Hispanic (39.1%). Seventy-eight percent of all prescriptions were filled. Among filled prescriptions, 69% were filled within 1 day. African American, Hispanic, and male patients were significantly more likely to have filled prescriptions. Younger age was associated with filling within 1 day but not with filling within 60 days. Prescriptions for antibiotics, from one of the clinic sites, from sick/follow-up visits, and electronic prescriptions were significantly more likely to be filled. CONCLUSIONS: More than 20% of prescriptions in a pediatric primary care setting were never filled. The significant associations with clinical site, visit type, and electronic prescribing suggest system-level factors that affect prescription filling. Development of interventions to increase adherence should account for the factors that affect primary adherence.

Original languageEnglish (US)
Pages (from-to)620-626
Number of pages7
JournalPediatrics
Volume130
Issue number4
DOIs
StatePublished - Jan 1 2012

Fingerprint

Prescriptions
Primary Health Care
Pediatrics
Electronic Prescribing
Hispanic Americans
African Americans
Logistic Models
Medication Adherence
Electronic Health Records
Medicaid
Insurance
Observational Studies
Retrospective Studies
Demography
Anti-Bacterial Agents

Keywords

  • Medication adherence
  • Nonadherence
  • Primary adherence
  • Unfilled prescriptions

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Zweigoron, Rachael T. ; Binns, Helen ; Tanz, Robert R. / Unfilled prescriptions in pediatric primary care. In: Pediatrics. 2012 ; Vol. 130, No. 4. pp. 620-626.
@article{e0696375a8f24a6a9998b61dcdf6d1d6,
title = "Unfilled prescriptions in pediatric primary care",
abstract = "BACKGROUND AND OBJECTIVES: Filling a prescription is the important first step in medication adherence, but has not been studied in pediatric primary care. The objective of this study was to use claims data to determine the rate of unfilled prescriptions in pediatric primary care and examine factors associated with prescription filling. METHODS: This retrospective observational study of pediatric primary care patients compares prescription data from an electronic medical record with insurance claims data. Illinois Medicaid provided claims data for 4833 patients who received 16 953 prescriptions during visits at 2 primary care sites over 26 months. Prescriptions were compared with claims to determine filling within 1 day and 60 days. Clinical and demographic variables significant in univariate analysis were included in logistic regression models. RESULTS: Patients were 51{\%} male; most (84{\%}) spoke English and were African American (38.7{\%}) or Hispanic (39.1{\%}). Seventy-eight percent of all prescriptions were filled. Among filled prescriptions, 69{\%} were filled within 1 day. African American, Hispanic, and male patients were significantly more likely to have filled prescriptions. Younger age was associated with filling within 1 day but not with filling within 60 days. Prescriptions for antibiotics, from one of the clinic sites, from sick/follow-up visits, and electronic prescriptions were significantly more likely to be filled. CONCLUSIONS: More than 20{\%} of prescriptions in a pediatric primary care setting were never filled. The significant associations with clinical site, visit type, and electronic prescribing suggest system-level factors that affect prescription filling. Development of interventions to increase adherence should account for the factors that affect primary adherence.",
keywords = "Medication adherence, Nonadherence, Primary adherence, Unfilled prescriptions",
author = "Zweigoron, {Rachael T.} and Helen Binns and Tanz, {Robert R}",
year = "2012",
month = "1",
day = "1",
doi = "10.1542/peds.2011-3480",
language = "English (US)",
volume = "130",
pages = "620--626",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "4",

}

Unfilled prescriptions in pediatric primary care. / Zweigoron, Rachael T.; Binns, Helen; Tanz, Robert R.

In: Pediatrics, Vol. 130, No. 4, 01.01.2012, p. 620-626.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Unfilled prescriptions in pediatric primary care

AU - Zweigoron, Rachael T.

AU - Binns, Helen

AU - Tanz, Robert R

PY - 2012/1/1

Y1 - 2012/1/1

N2 - BACKGROUND AND OBJECTIVES: Filling a prescription is the important first step in medication adherence, but has not been studied in pediatric primary care. The objective of this study was to use claims data to determine the rate of unfilled prescriptions in pediatric primary care and examine factors associated with prescription filling. METHODS: This retrospective observational study of pediatric primary care patients compares prescription data from an electronic medical record with insurance claims data. Illinois Medicaid provided claims data for 4833 patients who received 16 953 prescriptions during visits at 2 primary care sites over 26 months. Prescriptions were compared with claims to determine filling within 1 day and 60 days. Clinical and demographic variables significant in univariate analysis were included in logistic regression models. RESULTS: Patients were 51% male; most (84%) spoke English and were African American (38.7%) or Hispanic (39.1%). Seventy-eight percent of all prescriptions were filled. Among filled prescriptions, 69% were filled within 1 day. African American, Hispanic, and male patients were significantly more likely to have filled prescriptions. Younger age was associated with filling within 1 day but not with filling within 60 days. Prescriptions for antibiotics, from one of the clinic sites, from sick/follow-up visits, and electronic prescriptions were significantly more likely to be filled. CONCLUSIONS: More than 20% of prescriptions in a pediatric primary care setting were never filled. The significant associations with clinical site, visit type, and electronic prescribing suggest system-level factors that affect prescription filling. Development of interventions to increase adherence should account for the factors that affect primary adherence.

AB - BACKGROUND AND OBJECTIVES: Filling a prescription is the important first step in medication adherence, but has not been studied in pediatric primary care. The objective of this study was to use claims data to determine the rate of unfilled prescriptions in pediatric primary care and examine factors associated with prescription filling. METHODS: This retrospective observational study of pediatric primary care patients compares prescription data from an electronic medical record with insurance claims data. Illinois Medicaid provided claims data for 4833 patients who received 16 953 prescriptions during visits at 2 primary care sites over 26 months. Prescriptions were compared with claims to determine filling within 1 day and 60 days. Clinical and demographic variables significant in univariate analysis were included in logistic regression models. RESULTS: Patients were 51% male; most (84%) spoke English and were African American (38.7%) or Hispanic (39.1%). Seventy-eight percent of all prescriptions were filled. Among filled prescriptions, 69% were filled within 1 day. African American, Hispanic, and male patients were significantly more likely to have filled prescriptions. Younger age was associated with filling within 1 day but not with filling within 60 days. Prescriptions for antibiotics, from one of the clinic sites, from sick/follow-up visits, and electronic prescriptions were significantly more likely to be filled. CONCLUSIONS: More than 20% of prescriptions in a pediatric primary care setting were never filled. The significant associations with clinical site, visit type, and electronic prescribing suggest system-level factors that affect prescription filling. Development of interventions to increase adherence should account for the factors that affect primary adherence.

KW - Medication adherence

KW - Nonadherence

KW - Primary adherence

KW - Unfilled prescriptions

UR - http://www.scopus.com/inward/record.url?scp=84867188140&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867188140&partnerID=8YFLogxK

U2 - 10.1542/peds.2011-3480

DO - 10.1542/peds.2011-3480

M3 - Article

VL - 130

SP - 620

EP - 626

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 4

ER -