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The Effect of Medication Reviews in a Rural Community Pharmacy Assistance Program: The Cenla Medication Access Program

Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2001, New Orleans, LA 70112lefante{at}tulane.edu

Gary N. Harmon, MPH

Tulane University School of Public Health and Tropical Medicine, New Orleans,Louisiana

Wendy Roy, MHA

Sue Fontenot, BS, RPh

Kevin Brown, BS, RPh

Cenla Medication Access Program, Rapides Foundation, Alexandria, Louisiana

Larry Webber, PhD

Tulane University School of Public Health and Tropical Medicine, New Orleans,Louisiana

The purpose of this article is to determine the effect of mediing equations were used to assess change in PURPOSE, USE,cation reviews on patient understanding of and compliance COMPLIANCE, INTERACTION, and REACTION over time. to medications for participants in the Cenla Medication Ac All effects were adjusted for differences in age, race, gender, cess Program (CMAP). A sample of 844 individuals with a to the number of years of education, total number of medicatal of 2013 reviews over a period of 6 months to 1 year protions per patient, and the patient’s primary diagnosis. Signifiduced 5 outcome variables: the percentage of the total cant increases were observed for PURPOSE, USE, and number of drugs the patient understands the purpose of COMPLIANCE. A significant decrease was observed for (PURPOSE), understands the proper use of (USE), and is INTERACTION. No significant difference in REACTION was compliant with (COMPLIANCE) and the percentage of paobserved over time. CMAP has seen increases in patient untients that experienced any drug-drug or drug-disease interderstanding and compliance, as well as a decrease in drug-actions (INTERACTION) or any adverse reactions drug and drug-disease interactions through the first year of (REACTION). Mixed-effects models and generalized estimat medication reviews.

Key Words: Medication reviews • compliance • access

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