Carefully seLected and Easily Accessible at No Charge Medications
试验速览
- 阶段
- 不适用
- 入组人数
- 784
- 试验地点
- 6
- 主要终点
- Appropriate medicine adherence
研究概览
简要总结
This trial evaluates the effect of providing primary care patients with free and convenient access to a set of essential medicines. Half of the participants will receive free and convenient access to these essential medicines, while the other half will have usual access to medicines.
详细描述
Medication adherence is one important determinant of health outcomes. Approximately one half of treatments for chronic disease are not taken as directed. Cost is one of several important causes of poor adherence and it is particularly important for vulnerable people.
The size of many formularies makes it difficult for clinicians to know the safest and most effective medications to prescribe. This may partially explain poor medication selection. Short lists of essential medications have improved the the quality of prescribing.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Cost related medicine non-adherence during last 12 months
排除标准
- •Family member living at same address of patient who is already enrolled in this trial
- •Patient joined practice during last 6 months
结局指标
主要结局
Appropriate medicine adherence
时间窗: During entire study period (24 months)
The percentage of patients taking medicines that are both (1) appropriate based on explicit criteria and (2) taken as prescribed or adhered to for 80 % of doses
次要结局
- Percentage (%) of prescriptions that are appropriate.(During entire study period (24 months))
- Hemoglobin A1c levels in patients with diabetes (adjusted for baseline)(Assessed between months 21 and 24 inclusive)
- LDL cholesterol levels in patients taking a statin (adjusted for baseline(Assessed between months 21 and 24 inclusive)
- Healthcare costs including medication costs(During entire study period (24 months))
- Percentage (%) of prescriptions that are adhered to.(During entire study period (24 months))
- Blood pressure in hypertensive patients (adjusted for baseline)(Assessed between months 21 and 24 inclusive)