Patient response to insurer-led intervention for medication adherence â€" a pilot study based on claims data in Korea

Hyun Soon Sohn, Sunmee Jang, Ju Yeun Lee, Euna Han

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: This study was designed to investigate patient responses to a medication counseling intervention program piloted by the National Health Insurance Service (NHIS), the national health insurer in Korea, to improve medication management in patients with hypertension, hyperlipidemia, or diabetes. Methods and materials: Interventions were conducted from July to September 2013 through direct mailing followed by two telephone-initiated counseling sessions for the medication discontinuation group (< 80% medication possession ratio (MPR) and 2 months of discontinuation) and the medication over-possession group (150% MPR). The telephone intervention was applied through two models: model 1 (counseling by NHIS staff only) and model 2 (counseling by NHIS staff with contract-based working pharmacists in community pharmacies). Multivariate logistic regression analysis was performed to identify factors affecting favorable responses of patients to the telephone-initiated intervention. Patient responses to the telephone-initiated intervention were evaluated by a counselor. Results: In all, 891 patients were counseled via telephone. Patient responses to the telephone- initiated intervention were favorable in 57.6%, neutral in 17.4% and not favorable in 24.9% overall. Counseling by NHIS staff together with pharmacists (model 2) produced more favorable responses from patients than counseling by NHIS staff alone (model 1) (OR 2.73, 95% CI 1.97 â€" 3.77). Conclusion: Our findings of favorable responses to interventions support a personalized approach by the NHIS to improve patient behavior for medication adherence.

Original languageEnglish
Pages (from-to)28-35
Number of pages8
JournalInternational Journal of Clinical Pharmacology and Therapeutics
Volume54
Issue number1
DOIs
Publication statusPublished - 2016 Jan 1

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Insurance Carriers
Medication Adherence
National Health Programs
Korea
Telephone
Counseling
Pharmacists
Pharmacies
Contracts
Hyperlipidemias
Logistic Models

All Science Journal Classification (ASJC) codes

  • Pharmacology
  • Pharmacology (medical)

Cite this

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title = "Patient response to insurer-led intervention for medication adherence {\^a}€{"} a pilot study based on claims data in Korea",
abstract = "Objective: This study was designed to investigate patient responses to a medication counseling intervention program piloted by the National Health Insurance Service (NHIS), the national health insurer in Korea, to improve medication management in patients with hypertension, hyperlipidemia, or diabetes. Methods and materials: Interventions were conducted from July to September 2013 through direct mailing followed by two telephone-initiated counseling sessions for the medication discontinuation group (< 80{\%} medication possession ratio (MPR) and 2 months of discontinuation) and the medication over-possession group (150{\%} MPR). The telephone intervention was applied through two models: model 1 (counseling by NHIS staff only) and model 2 (counseling by NHIS staff with contract-based working pharmacists in community pharmacies). Multivariate logistic regression analysis was performed to identify factors affecting favorable responses of patients to the telephone-initiated intervention. Patient responses to the telephone-initiated intervention were evaluated by a counselor. Results: In all, 891 patients were counseled via telephone. Patient responses to the telephone- initiated intervention were favorable in 57.6{\%}, neutral in 17.4{\%} and not favorable in 24.9{\%} overall. Counseling by NHIS staff together with pharmacists (model 2) produced more favorable responses from patients than counseling by NHIS staff alone (model 1) (OR 2.73, 95{\%} CI 1.97 {\^a}€{"} 3.77). Conclusion: Our findings of favorable responses to interventions support a personalized approach by the NHIS to improve patient behavior for medication adherence.",
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Patient response to insurer-led intervention for medication adherence â€" a pilot study based on claims data in Korea. / Sohn, Hyun Soon; Jang, Sunmee; Lee, Ju Yeun; Han, Euna.

In: International Journal of Clinical Pharmacology and Therapeutics, Vol. 54, No. 1, 01.01.2016, p. 28-35.

Research output: Contribution to journalArticle

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