Medication nonadherence and its relation to financial restriction

W. Paris, S. Dunham, A. Sebastian, C. Jacobs, Bakr Nour

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

The question of patient nonadherence has always been an important factor in determining candidate suitability for organ transplantation. Data that explore the association of financial problems and posttransplant medication nonadherence are limited. Findings suggest that medication nonadherence was more likely to occur when recipients did not have insurance coverage and had to rely on Medicaid or indigent drug programs. Our center developed a formalized program within the outpatient pharmacy, including a full-time medication counselor who helped recipients secure resources to pay for pre- and posttransplant medications. To determine whether the availability of posttransplant medications could reduce medication nonadherence, we conducted a survey with 50 consecutive liver transplant recipients in the outpatient clinic. Nonadherence rates were significantly reduced from 25% to 10% (P<.01) compared with recipients who had been transplanted before the development of our drug program. These results suggest that optimum medication adherence can be obtained when recipients are provided guidance in securing their necessary medications without financial restriction.

Original languageEnglish
Pages (from-to)149-152
Number of pages4
JournalJournal of Transplant Coordination
Volume9
Issue number3
Publication statusPublished - 1999
Externally publishedYes

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Medication Adherence
Insurance Coverage
Medicaid
Organ Transplantation
Poverty
Patient Compliance
Ambulatory Care Facilities
Pharmaceutical Preparations
Outpatients
Liver

ASJC Scopus subject areas

  • Transplantation

Cite this

Paris, W., Dunham, S., Sebastian, A., Jacobs, C., & Nour, B. (1999). Medication nonadherence and its relation to financial restriction. Journal of Transplant Coordination, 9(3), 149-152.

Medication nonadherence and its relation to financial restriction. / Paris, W.; Dunham, S.; Sebastian, A.; Jacobs, C.; Nour, Bakr.

In: Journal of Transplant Coordination, Vol. 9, No. 3, 1999, p. 149-152.

Research output: Contribution to journalArticle

Paris, W, Dunham, S, Sebastian, A, Jacobs, C & Nour, B 1999, 'Medication nonadherence and its relation to financial restriction', Journal of Transplant Coordination, vol. 9, no. 3, pp. 149-152.
Paris, W. ; Dunham, S. ; Sebastian, A. ; Jacobs, C. ; Nour, Bakr. / Medication nonadherence and its relation to financial restriction. In: Journal of Transplant Coordination. 1999 ; Vol. 9, No. 3. pp. 149-152.
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