NOT TAKING YOUR MEDICINES? THE $290+ BILLION PROBLEM
Goldina Erowele, PharmD, RPh 1
Clinical Pharmacy Consultant Caregiving & Drug Information Specialist www.carenovate.com
2012 MAY NATIONAL HEALTH OBSERVANCES
Arthritis Awareness Month Better Hearing and Speech Month Global Employee Health and Fitness Month Healthy Vision Month National Senior Health & Fitness Day® National Hurricane Preparedness Week Mental Health Month Children's Mental Health Awareness Week National Asthma and Allergy Awareness Month National Celiac Disease Awareness Month National High Blood Pressure Education Month National Osteoporosis Awareness and Prevention Month National Physical Fitness and Sports Month National Women's Health Week 2
QUESTION 1
How many patients actually take the prescription drugs that their doctors prescribe them?
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ANSWER 1
2009
National council on Patient Information & Education (NCPIE) data
33 – 50% 4
QUESTION 2
In 2010, almost 2 billion prescriptions were filled in the U.S
TRUE OR FALSE?
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ANSWER 2
FALSE!!! 4 billion prescriptions were filled 6
QUESTION 3
How much does it cost to develop a new innovative medication & how long does it take? A.
B. C.
D.
$10 million & 4 years $100 million & 8 years $400 million & 12 years $800 million & 12 years
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ANSWER 3  2009
National council on Patient Information & Education (NCPIE)
$800 million & 12 years
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MEDICATION RELATED STATISTICS 2009
New England Healthcare Institute (NEHI) data o Medication nonadherence costs health care system
$290 billion per year 9
MEDICATION RELATED STATISTICS
o
National council on Patient Information & Education (NcPIE) o Nonadherence costs nearly $300 billion annually (2011 data)
o
Nonadherence has been shown to result in o $100 billion each year in excess hospitalizations alone 10
THE OTHER DRUG PROBLEM
“Medication compliance is America’s other drug problem” - National Council on Patient Information and Education (NCIPE)
“Drugs don’t work in patients who don’t take them.” - Dr. C. Everett Koop 11
PATIENTS AT RISK FOR THE PROBLEM
Persons with disabilities Elderly patients with depression Older patients with chronic illness Patients who are underinsured or uninsured Patients with 3 or more disease states Patients taking more 5 medications a day Patients who medication multiple times a day
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REASONS FOR THE PROBLEM
Cost Taking too many medications Lack of understanding - Lack of physician-patient communication Side effects Mistrust of the prescriber or other healthcare workers Medication regimen in conflict with lifestyle Advice from friends/relatives that conflicts with medical advice Denial of disease Inability to use medicines or to open containers Poor understanding of dose, frequency, etc Forgetting to take the medicine
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QUICK TIPS – FIXING THE PROBLEM TAKING YOUR MEDICINES BETTER! o
Talk with your Pharmacist & healthcare provider Generic drugs o Lowering drug costs o
Take your medications as part of your routine o Take your medication as prescribed Seek Support o
o
Family o Support group o
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IN THE END…
It
takes more than a pill. It takes more than expertise. It takes support. 16
RESOURCES Talk about Prescriptions http://www.talkaboutrx.org/message.jsp#howtotalkabou trx MedlinePlus http://www.nlm.nih.gov/medlineplus/ SafeMedication http://www.safemedication.com/ My Medicine List http://www.safemedication.com/safemed/MyMedicineLis t/MyMedicineList_1.aspx
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Goldina Erowele, PharmD, RPh. Cofounder, CareNovate.com Clinical Pharmacy Consultant, Drug Information Specialist Professional & Family Caregiver
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