Risk of Hospitalization Due to Medication Nonadherence Identified Through EMRs of Patients With Psychosis

被引：11

作者：

Andrews, Carrie E. ^{[1
]}

Baker, Krista ^{[1
]}

Howell, Carolyn J. ^{[1
]}

Cuerdo, Arlene ^{[1
]}

Roberts, Jamie A. ^{[1
]}

Chaudhary, Abdullah ^{[1
]}

Lechich, Stephanie ^{[1
]}

Nucifora, Leslie G. ^{[1
]}

Vaidya, Dhananjay ^{[2
]}

Mojtabai, Ramin ^{[1
]}

Margolis, Russell L. ^{[1
]}

Sawa, Akira ^{[1
]}

Nucifora, Frederick C., Jr. ^{[1
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21205 USA

[2] Johns Hopkins Univ, Sch Med, Dept Gen Internal Med, Baltimore, MD USA

来源：

PSYCHIATRIC SERVICES | 2017年 / 68卷 / 08期

关键词：

UNITED-STATES; SCHIZOPHRENIA; ADHERENCE; COSTS;

D O I：

10.1176/appi.ps.201600334

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: This study examined whether outpatients with a psychotic disorder who are at risk of hospitalization can be identified by using data fromelectronicmedical records (EMRs). Methods: Data from EMRs of outpatients enrolled in two clinics for treatment of psychotic disorders were abstracted. Monthly data were collected for 75 patients over two years. The study examined the association of medication nonadherence, substance use, participation in psychiatric rehabilitation, and long-acting injectable antipsychotic use in any given month with the risk of hospitalization in the subsequent month by using generalized estimating equations. Results: The only variable found to increase the relative risk of future hospitalization was recorded medication nonadherence (adjusted relative risk=7.19, p < 001). Conclusions: Results suggest that recording medication nonadherence in EMRs is feasible and that these data may be used to identify patients at high risk of future hospitalization, who may require more intensive intervention.

引用

页码：847 / 850

页数：4

共 13 条

[1] The "Meaningful Use" Regulation for Electronic Health Records [J].

Blumenthal, David ;

Tavenner, Marilyn .

NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (06) :501-504

[2] Hospitalisation as an outcome measure in schizophrenia [J].

Burns, Tom .

BRITISH JOURNAL OF PSYCHIATRY, 2007, 191 :S37-S41

[3] Substance abuse in schizophrenia:: a review of the literature and a study of correlates in Sweden [J].

Cantor-Graae, E ;

Nordström, LG ;

McNeil, TF .

SCHIZOPHRENIA RESEARCH, 2001, 48 (01) :69-82

[4] Improving the validity of determining medication adherence from electronic health record medications orders [J].

Carroll, Nikki M. ;

Ellis, Jennifer L. ;

Luckett, Capp F. ;

Raebel, Marsha A. .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2011, 18 (05) :717-720

[5]

Garis Robert I, 2002, Manag Care, V11, P43

[6] Nonadherence with antipsychotic medication in schizophrenia: challenges and management strategies [J].

Haddad, Peter M. ;

Brain, Cecilia ;

Scott, Jan .

[7] Efficacy and Effectiveness of Depot Versus Oral Antipsychotics in Schizophrenia: Synthesizing Results Across Different Research Designs [J].

Kirson, Noam Y. ;

Weiden, Peter J. ;

Yermakov, Sander ;

Huang, Wayne ;

Samuelson, Thomas ;

Offord, Steve J. ;

Greenberg, Paul E. ;

Wong, Bruce J. O. .

JOURNAL OF CLINICAL PSYCHIATRY, 2013, 74 (06) :568-575

[8]

Lin JJ, 2013, EXPERT REV PHARM OUT, V13, P191, DOI [10.1586/ERP.13.7, 10.1586/erp.13.7]

[9] An Examination of Costs, Charges, and Payments for Inpatient Psychiatric Treatment in Community Hospitals [J].

Stensland, Michael ;

Watson, Peter R. ;

Grazier, Kyle L. .

PSYCHIATRIC SERVICES, 2012, 63 (07) :666-671

[10] Adherence to oral second-generation antipsychotic medications in patients with schizophrenia and bipolar disorder: physicians' perceptions of adherence vs. pharmacy claims [J].

Stephenson, J. J. ;

Tuncelli, O. ;

Gu, T. ;

Eisenberg, D. ;

Panish, J. ;

Crivera, C. ;

Dirani, R. .

INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2012, 66 (06) :565-573

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