Mail Order Pharmacies Linked To Better Compliance With Stroke Medications

MedicalResearch.com Interview with:
Dr-William-Patrick-Neil

William P. Neil, MD

Vascular Neurologist
SCPMG Regional Stroke Champion
Neurology   

Medical Research: What is the background for this study?

Dr. Neil: Stroke survivors are less likely to have a recurrent stroke, or other complications if they take their medications as prescribed by their doctor. Mail order pharmacies are increasingly being used to deliver medications for a variety of diseases, and their use is associated with better medication adherence.  We wanted to see whether stroke patients who use mail-order pharmacies were more likely to have good medication adherence than those who used  local pharmacies.

Medical Research: What are the main findings?

Dr. Neil: We looked through a large electronic medical database in California, and found a total of 48,746 people discharged from the hospital with a stroke, and who also filled either a cholesterol medication or an anticoagulant (blood thinner). Of these, 136,722 refills were from a local pharmacy and 68,363 were by mail. Overall, patients were adherent to the medications 46.5% of the time if they picked up the medication from the pharmacy and 74% of the time if they had prescriptions mailed to them.

Medical Research: What should clinicians and patients take away from your report?

Dr. Neil: Stroke survivors who obtain medication by mail are more likely to have good medication adherence than those who obtain them from local pharmacies.

Medical Research: What recommendations do you have for future research as a result of this study?

Dr. Neil: Future studies should examine the impact of mail-order pharmacy use on vascular risk marker control and further events such as recurrent hospitalization, or death after stroke.

Citation:

Mail Order Pharmacy Use is Associated with Greater Adherence to Secondary Preventive Drugs among Stroke Patients

Soyeun Kim, Dong Wook Shin, Jae Moon Yun, Yunji Hwang, Sue K. Park,Young-Jin Ko, and BeLong Cho

Hypertension. 2016;67:506512, published online before print January 25 2016, doi:10.1161/HYPERTENSIONAHA.115.06731

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William P. Neil, MD (2016). Mail Order Pharmacies Linked To Better Compliance With Stroke Medications 

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