Pharmacy World and Science

, Volume 26, Issue 1, pp 26–31 | Cite as

Unclaimed prescriptions after automated prescription transmittals to pharmacies

  • Anders Ekedahl
  • Niclas Månsson
Article

Abstract

Objective: To assess the extent of and the reasons for unclaimed prescriptions, primary non-compliance, after automated transmittals to pharmacies.

Methods: Cross-sectional study in 3 health care districts (population 240,000) in the southernmost of Sweden on unclaimed electronic prescriptions (e-prescriptions), transmitted to 21 pharmacies during the period of 3 months (2000) and semi-structured interview study with patients not claiming their e-prescriptions transmitted to 4 pharmacies during a period of 3 weeks (2001).

Main outcome measure: Proportion of unclaimed e-prescriptions of total number of (dispensed and unclaimed) e-prescriptions and reasons for primary non-compliance.

Results: In total, 2171 (2.4%) e-prescriptions remained unclaimed at the pharmacies. The peak non-redemption rate was observed for those 15–24 years old (5.5%). The lowest rate was observed for those 65–74 years old. Men had a higher non-redemption rate than women. The highest rate for men was observed 25–34 years old (6.6%). Drugs for the musculo-skeletal system (ATC group M) had higher non-redemption rates than expected (3.9%), and antibiotics (ATC-group J) lower (1.7%). Adolescents and young adults, 15–24 years old, had high non-compliance rates for drugs for the musculo-skeletal system (14%) and anti-asthmatic drugs (11%). Of 78 interviewed patients, not claiming their e-prescriptions, 61% reported no need to have the prescription dispensed. However, unintentional non-compliance was reported by 28%, most of them were not aware that a prescription had been transmitted to the pharmacy. Thirteen percent reported that non-redemption had given further medical problems or made obtaining a new prescription necessary.

Conclusion: Primary non-compliance was generally low, but there were differences related to age, gender and type of drugs. The most common reason reported for non-redemption was that the prescription was not needed, but some patients were unaware that prescriptions were issued and transmitted to the pharmacy.

Community pharmacy Electronic prescriptions Initial non-compliance Non-redemption rate Primary non-compliance Unclaimed prescriptions Sweden 

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References

  1. 1.
    Gardner TL, Dovey SM, Tilyard MW, Gurr E. Differences between prescribed and dispensed medications. N Z Med J 1996; 109: 69–72.Google Scholar
  2. 2.
    Jones I, Britten N. Why do some patients not cash their prescriptions? Br J Gen Pract 1998; 48: 903–5.Google Scholar
  3. 3.
    Fincham JE, Wertheimer AI. Using the health belief model to predict initial drug therapy defaulting. Soc Sci Med 1985; 20: 101–5.Google Scholar
  4. 4.
    McCaffrey DJ, Smith MC, Banahan BF. Why prescriptions go unclaimed. US Pharm 1993; 58, 60, 62, 64–5.Google Scholar
  5. 5.
    Ekedahl A, Wessling A, Melander A. Primary non-compliance with automated prescription transmittals from health care centres in Sweden. J Soc Adm Pharm 2002; 19: 137–40.Google Scholar
  6. 6.
    Watts RW, McLennan G, Bassham I, El-Saadi O. Do patients with asthma fill their prescriptions? A primary compliance study. Aust Fam Physician 1997; 26(Suppl) 1: S4–6.Google Scholar
  7. 7.
    Skutnik S, Katsanis LP. Impact of initial non-compliance in Canadian retail pharmacies: Descriptive examination. J Pharm Mark Manage 1997; 11(4): 35–54.Google Scholar
  8. 8.
    Schafheutle EI, Hassell K, Seston M, Noyce PR. Non-dispensing of NHS prescriptions in community pharmacies. Int J Pharm Pract 2002; 3: 11–6.Google Scholar
  9. 9.
    Kirking MH, Zaleon CR, Kirking DM. Unclaimed prescriptions at a university hospital's ambulatory care pharmacy. Am J Health Syst Pharm 1995; 52: 490–5.Google Scholar
  10. 10.
    Craghead RM, Wartski DM. Effect of automated prescription transmittal on number of unclaimed prescriptions. Am J Hosp Pharm 1989; 46: 310–2.Google Scholar
  11. 11.
    Craghead RM, Wartski DM. An evaluative study of unclaimed prescriptions. Hosp Pharm 1991; 26: 616–7, 632.Google Scholar
  12. 12.
    Kirking MH, Kirking DM. Evaluation of unclaimed prescriptions in an ambulatory care pharmacy. Hosp Pharm 1993; 28: 90–1, 94, 102.Google Scholar
  13. 13.
    Katz EF, Segal HJ. Unclaimed prescriptions. Hosp Adm Canada 1971; 13: 50–94.Google Scholar
  14. 14.
    Kubota M, Nakamura T, Ogura Y, Oshima M, Nabeshima T et al. Research and countermeasure to unreceived medicines in Nagoya University Hospital. Jpn J Hosp Pharm 1993; 19: 84–91.Google Scholar
  15. 15.
    Al-Yamani MJMS. Unclaimed prescriptions in a teaching hospital in Saudi Arabia. Saudi Pharm J 1998; 6: 255–61.Google Scholar
  16. 16.
    Leu S, Eng K. Determination of unclaimed prescriptions at an outpatient department, Songklanagarind Hospital. J Pharm Pract 1999; 12: 433–40.Google Scholar
  17. 17.
    Beardon PH, McGilchrist MM, McKendrick AD, McDevitt DG, MacDonald TM. Primary non-compliance with prescribed medication in primary care. BMJ 1993; 307: 846–8.Google Scholar
  18. 18.
    Mateos Campos R, Camacho Alvarez M. Noncompliance with the medical prescription in primary care in a rural setting. Aten Primaria 1997; 19(1): 41–6. [in Spanish].Google Scholar
  19. 19.
    Waters WH, Gould NV, Lunn JE. Undispensed prescriptions in a mining general practice. BMJ 1976; 1: 1062–3.Google Scholar
  20. 20.
    Loong TW. Primary non-compliance in a Singapore polyclinic. Singapore Med J 1999; 40: 691–3.Google Scholar
  21. 21.
    Saunders CE. Patient compliance in filling prescriptions after discharge from the emergency department. Am J Emerg Med 1987; 5: 283–6.Google Scholar
  22. 22.
    Bazargan M, Barbre AR, Hamm V. Failure to have prescriptions filled among Black elderly. J Aging Health 1993; 5: 264–82.Google Scholar
  23. 23.
    Matsui D, Joubert GI, Dykxhoorn S, Rieder MJ. Compliance with prescription filling in the pediatric emergency department. Arch Pediatr Adolesc Med 2000; 154: 195–8.Google Scholar
  24. 24.
    Gerdtham UG, Hertzman P, Jonsson B, Boman G. Impact of inhaled corticosteroids on acute asthma hospitalization in Sweden 1978 to 1991. Med Care 1996; 34: 1188–98.Google Scholar
  25. 25.
    Anis AH, Lynd LD, Wang XH, King G, Spinelli JJ, Fitzgerald M et al. Double trouble: Impact of inappropriate use of asthma medication on the use of health care resources. Can Med Ass J 2001; 164: 625–31.Google Scholar
  26. 26.
    Shireman TI, Heaton PC, Gay WE, Cluxton RJ, Moomaw CJ. Relationship between asthma drug therapy patterns and healthcare utilization. Ann Pharmacother 2002; 36: 557–64.Google Scholar
  27. 27.
    Hartert TV, Togias A, Mellen BG, Mitchel EF, Snowden MS, Griffin MR. Underutilization of controller and rescue medications among older adults with asthma requiring hospital care. J Am Geriatr Soc 2000; 48: 651–7.Google Scholar
  28. 28.
    Thomas EJ, Burstin HR, O'Neil AC, Orav EJ, Brennan TA. Patient noncompliance with medical advice after the emergency department visit. Ann Emerg Med 1996; 27: 49–55.Google Scholar
  29. 29.
    Lash S, Harding J. Abandoned prescriptions: Quantitative assessment of their cause. J Man Care Pharm 1995; 1: 193–9.Google Scholar
  30. 30.
    Dong BJ, McCart GM, Lynch SS. Reducing unclaimed prescriptions through pharmacist intervention. Hosp Pharm 1998; 33: 841–6.Google Scholar
  31. 31.
    Tavitian SM, Kidder PA, Shane R. Contacting patients with unclaimed prescriptions: The pharmacist's impact on drug therapy concordance. Hosp Pharm 2001; 36: 1060–5.Google Scholar
  32. 32.
    Secnik K, Pathak DS, Cohen JM. Postcard and telephone reminders for unclaimed prescriptions: a comparative evaluation using survival analysis. J Am Pharm Ass 2000; 31: 243–51.Google Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Anders Ekedahl
    • 1
  • Niclas Månsson
    • 2
  1. 1.Department of Community MedicineLund University, Sweden and The National Corporation of Swedish Pharmacies, Apoteket VipanMalmöSweden
  2. 2.Medical Products AgencyUppsalaSweden

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