What have been the most successful Pharmaceutical "compliance
programs," that are non communications based? (non-advertising based)

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Request for Question Clarification by czh-ga on 12 Dec 2002 18:47 PST

Hello jim1946-ga,

I've started researching your question and discovered that it's a
fairly complex topic. See this article as an example:
http://www.ballardspahr.com/press/article.asp?ID=507

What aspect of pharmaceutical compliance would you like me to focus
on? The more information you can share about your topic, the more
likely I'll be able to give you a productive answer. I look forward to
working on your question.

czh

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Clarification of Question by jim1946-ga on 13 Dec 2002 04:11 PST

In the Pharma industry, to simplify it, there are two types of drugs,
prescription, and over the counter. I want to address the cycle
[simplified]  -- In the prescription category a  drug is prescribed by
a doctor, the patient goes to the pharmacy to have it filled, and the
patient picks it up, and if all is working s/he takes the medicine
(compliance) and then gets it refilled (refills already issued, or
back to a doctor for the cycle). About 50 percent of the people who
get the medicine in the their hands, don’t finish taking it properly.

The two areas that impact loyalty in the Rx pharma industry are
compliance (taking the proper dosage, at the correct time of day, the
proper number of times per day/week, in the correct manner – w/wo
food) and persistency (renewing the script at appropriate intervals).

The ideal loyalty program would enroll a patient with the initial
script and help them establish “habits” that would leverage maximum
compliance. And then provide patient with benefits and rationale of
persistency.  And, create a way to get data on patient persistency and
compliance over time.

I am trying to figure out if any company or whatever has been
successful in this endeavor of “breaking the code” and being
successful in the compliance area.

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Request for Question Clarification by czh-ga on 13 Dec 2002 12:33 PST

That's a great clarification. I have a much better understanding of
what you're looking for and I'll get right on your question. Thanks.
czh

Hello Jim,

Your question led to an interesting exploration of human behavior and
why people will not follow through on behavior that is clearly to
their benefit. My review of the available resource led me to organize
my findings into two categories: technology and
communications/education solutions. I think you will find a wealth of
approaches for dealing with the problem of patient compliance in
following pharmaceutical regimens. Best wishes for the success of your
project.

czh

====================
TECHNOLOGY SOLUTIONS
====================

http://www.forrester.com/search/1,6260,,00.html?squery=pharmacy
Forrester Research has a practice area monitoring the pharmacy
marketplace and their reports are frequently quoted in the trade
press.

http://www.forrester.com/ER/Research/Report/Summary/0,1338,9540,00.html
June 2000 -- The ePharmacy Opportunity
Over the next two years, successful online pharmacies will shift from
building infrastructure to providing pharmacy services that help
patients comply with drug therapies -- boosting drug spend by nearly
1% in 2004.

http://www.forrester.com/ER/Research/Report/Summary/0,1338,14506,00.htmlApril
2002 -- Making ePrescribing Pay Off
Electronic prescribing in the doctor's office will rebound from its
recent near-death experience, aided by large payers that will rethink
the technology and deploy it as a disruptive threat to drug firms and
retail pharmacy.

http://www.ameripharm.com/apa_info.html
Technology Partnership
The American Pharmacy Alliance is a technology partnership of leading
pharmacy software companies that supply prescription processing
systems to more than 10,000 independent and small chain pharmacies
throughout the United States.

http://www.hfmhealth.org/pharmacies.htm
Innovative Medication Distribution Systems 
Many people need to take multiple medications at many different times
each day. Trying to keep everything straight can be a true nightmare
for most. We offer compliance packaging systems to assist you with
managing your medications. These include monthly bubble paks, weekly
medication boxes, or even daily unit dose systems. Depending on the
situation, we may use them all.

http://www.mcareol.com/mcolfree/mcolfre1/ais/artclb49.htm
Formulary Compliance, Patient Safety to Improve as Physicians Take Up
e-Prescribing

http://www.livecontactinc.com/patient.html
Patient Compliance -- Two unique branded services which LiveContact
currently markets are RepeatRx™ and RepeatVisit™.

http://www.epill.com/epill/statistics.html
E-Pill Medication Reminders
Patient Compliance Statistics and References

http://www.dv-tech.com/patient-compliance.html
IVR for patient compliance

http://www.privatepractice.com/index.htm
The Private Practice™
Vibration Reminder Disk Systems help to improve patient outcomes and
reduce health care costs.

http://shop.store.yahoo.com/epill/
e-pill Medication Reminders, Pill Boxes, Watches, Organizers, Meds
Dispensers & More

http://www.devicelink.com/pmpn/archive/02/01/011.html
Does Compliance Packaging Improve Patient Outcomes?

http://www.unitdose.org/
The Healthcare Compliance Packaging Council (HCPC) is a not-for-profit
trade association that was established in 1990 to promote the many
benefits of unit dose blister and strip packaging -- especially its
ability to be designed in compliance-prompting formats that help
people take their medications properly.

http://www.aardex.ch/GeneralFAQ.htm#Does%20monitor%20influence%20compliance
AARDEX Ltd is now the world leader in electronic devices and software
for monitoring prescription drug intake by ambulatory patients.
Research Reports. See FAQ

http://www.mindbranch.com/catalog/product.jsp;jsessionid=aaabhAnYB4Q6IV?display=toc&code=R313-2555&bundle=&partner=0
Online Patient Compliance Tools: Using the Internet to Improve
Outcomes
Market Report, June 2001, Cost $1900

http://www.wwmr.com/eppub/
Enhanced Perspective Publications (EP Publications) is the
multi-client report publishing service of WWMR, Inc.
Offers a variety of research report on compliance issues

http://www.wwmr.com/eppub/wwmr_pc.pdf
Providing an Enhanced Perspective on Patient Compliance
$7500 Market Research Report – see table of contents

Reports & Services > General Business > eCommerce > eHealthInsight
This is a large collection of articles on electronic approaches to
healthcare issues.

======================================
COMMUNICATIONS AND EDUCATION SOLUTIONS
======================================

http://www.consumer-health.com/pharm/peu/yce_vol1_no1.htm
http://www.consumer-health.com/media_center.htm
Consumer Health Information Corporation is nationally involved in
almost every aspect of patient education. The company sits on the
Board of Directors for the National Council on Patient Information and
Education (NCPIE), the National Board of Advisors for the University
of Arizona, College of Pharmacy, and the Dean's Advisory Council for
the University of Cincinnati Medical Center, College of Pharmacy

http://www.talkaboutrx.org/compliance.html
National Council on Patient Information and Education (NCPIE) has
focused on raising awareness about the role of communication in
promoting safe, appropriate use of medicines. NCPIE-sponsored public
affairs campaigns have included:

http://www.rxsolutions.com/c/pbi/pbi_view.asp?docid=128
Rising Pharmacy Copayments Have a Detrimental Impact on Patient
Compliance
Harris Interactive Survey

http://www.pharmacypracticenews.com/cgi-bin/wwread.pl?cat=ppn&art=ppn0902-23a.htm
Thoughtful Communication May Be Best Approach to Patient Compliance

http://www.pharmacypracticenews.com/

http://216.239.53.100/search?q=cache:LOh8ABw5RG4C:www.medscape.com/viewarticle/406702_5+%22patient+compliance%22+pharmacy&hl=en&ie=UTF-8
Patient-Guided Counseling in the Community Pharmacy Setting
from Journal of the American Pharmaceutical Association

http://www.aphanet.org/
American Pharmaceutical Association
Clinical Evidence of the Value of Pharmacists

http://www.medscape.com/px/mscpsearch?QueryText=compliance&searchfor=Clinical
Search on “compliance” results in 761 hits

http://www.medscape.com/viewpublication/71_index
Journal of the American Pharmaceutical Association

http://www.pharmj.com/Editorial/20000916/practiceresearch/r35.html
Refill compliance rates: evidence for use as an outcome measure in
practice-based research

http://www.informationmediary.com/documents.htm
Information Mediary Corporation

http://www.micromass.com/newsroom/release.asp?pr_id=25
MicroMass Communications Drives Healthcare Compliance With Rapport For
Patient Loyalty

http://www.ppdi.com/PPD_2_50.htm
Consumer Information Support Services

http://www.cpchealthcare.com/default.asp
PR agency specializing in healthcare communications
http://www.cpchealthcare.com/content/OurWork/WhitePapers.asp
Offers several white papers on patient compliance, persistency and
loyalty

http://www.datamonitor.com/~88247af2949f425680e589b3a58e8f22~/healthcare/reports/product_summary.asp?pid=BE_186&comp=FL_695
Health Care Reports and Services



SEARCH STRATEGY
patient compliance pharmacies
"patient compliance" research
"patient noncompliance" pharmacy
"patient compliance" pharmacy solutions
"patient compliance" loyalty

extemely helpful -- very complete -- thanks