Regional Differences In Coverage Among American Indians And Alaska Natives Before And After The ACA

2019 ◽  
Vol 38 (9) ◽  
pp. 1542-1549 ◽  
Author(s):  
Leah Frerichs ◽  
Ronny Bell ◽  
Kristen Hassmiller Lich ◽  
Daniel Reuland ◽  
Donald Warne
2019 ◽  
pp. 089719001985135
Author(s):  
LT Sean Navin

Objective: To compare adherence one year before and after blister pack implementation in America Indian and Alaska Native (AI/AN) patients and to describe the patient population who used blister packs in the outpatient setting. Methods: A retrospective analysis of AI/AN patients receiving blister packs was performed to determine medication adherence as measured by a variable medication possession ratio (MPR). Patient characteristics and the reason for blister pack initiation were also assessed. Results: Of the 25 patients receiving blister packs, 76% were female, 56% were elderly and 60% had cognitive impairment. The three most common types of medications used were hypertension meds, vitamins and diabetes meds. The average MPR one year before blister pack implementation was 67.4% and significantly increased to 86.0% one year after. Conclusion: Blister packs significantly increased the average MPR after one year of implementation in a small group of AI/AN patients. Blister packs were utilized most commonly in patients who were female, had cognitive impairment, and who were taking numerous medications with a high pill burden in the outpatient setting.


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2008 ◽  
Vol 113 (S5) ◽  
pp. 1234-1243 ◽  
Author(s):  
Thomas M. Becker ◽  
David K. Espey ◽  
Herschel W. Lawson ◽  
Mona Saraiya ◽  
Melissa A. Jim ◽  
...  

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pp. 2287-2295 ◽  
Author(s):  
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Stacey E. Jolly ◽  
Ping Xu ◽  
Christine K. Abrass ◽  
Dedra Buchwald ◽  
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Vol 113 (S5) ◽  
pp. 1179-1190 ◽  
Author(s):  
David G. Perdue ◽  
Carin Perkins ◽  
Jeannette Jackson-Thompson ◽  
Steven S. Coughlin ◽  
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D. Crevecoeur-MacPhail ◽  
L. Denering ◽  
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M. -L. Brecht

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