right therapy, patient consumption of medication correctly
What are the two elements that effective treatment depend on?
medication compliance
-the extent to which a person's medication-taking behavior coincides with medical or health advice
patient self report, administrative claims data
What are indirect measures of medication utilization?
Morisky medication adherence scale
-an example of patient self report that is displayed as a scale to measure the adherence level of a patient.
anniversary method, minimum refills method, threshold method
What are dichotomous measures of administrative claims data?
refill-sequence method
What are continuous measures of administrative claims data?
anniversary method
-Defines adherence as refilling medication within a specific interval in the 1 year anniversary of the initial filling of a prescription
minimum refills method
-refills claimed exceeds a prior number
threshold method
-counts number of days the patient had medication available
refill-sequence method
-Measured in days and represents the length of time between the initiation of therapy and appearance of gap between fills
a
Which analysis measures compliance/adherence with receiving treatment when it is assumed the patient should be treated?
a) MPR
b) PDC
b
Which analysis measures compliance/adherence while on treatment, producing a more accurate measure of what is normally considered compliance?
a) MPR
b) PDC
directly observed therapy, biological fluids
What are direct measures of medication utilization?
index date
-the date of first fill of the medication
PDC's denominator= number of days from first fill to the end of observation period
Explain the Proportion of Days Covered (PDC).
PDC
Which gives us a more accurate measurement of adherence PDC or MDR?
days supply/ days in evaluation period
What is the formula for MDR & PDC?