Medication use and society

Question 1

Medication Adherence

Answer 1

Extent to which a person’s behavior corresponds to agreed recommendations from a health care provider (in relation to timing, dose and freq).

Question 2

Dimensions impacting medication adherence

Answer 2

Patient-related factors

condition-related factors

therapy related factors

socioeconomic factors

health care team/system factors

Question 3

Medication NON-Adherence

Answer 3

Failure to fill prescription and missing doses

Wrong dose (deliberate or mistake)

Improper use

Premature stopping

Using past expiry date

Question 4

What is the framework that is used for improving medication adherence?

Answer 4

AIDES method:

Assess
Individualise
Document
Educate
Supervise

Question 5

Inequities in PBS/MBS expenditure

Answer 5

Less utilisation iof PBS by ATSI (Greatest gap in major cities and Smaller gap in remote areas)

Less MBS claims (use of primary health care) rurally

Question 6

What does QUM involve?

Answer 6

Quality use of Medicine (QUM)

Judicious selection of treatment options: choice between medicine, non-medicine and no treatment

Safe and effective use: not misused, underused or overused

Appropriate choice of medicine when med is required.

Question 7

What are some health polices that can help reduce cost barriers of medication

Answer 7

PBS safety Net

PBS Co-payment Measure

QUMAX program

Home Medicines Review: pharmacists visit home to review medications, bulk-billed,

Section 100 Remote Area Aboriginal Health Services Programmed

Question 8

Polypharmacy

Answer 8

concurrent ise of 5 or more medications by a single patient