In Reply: We agree with Drs Guirguis and Zingone that medication therapy management, an unmeasurable variable in our study, may play an important role in reducing medication nonadherence among enrollees in Medicare drug plans. Despite the encouraging results of a small randomized controlled trial of the effects of an innovative face-to-face pharmacy care program on adherence and blood pressure among elderly persons,1 more study of the cost-effectiveness of this model is needed to justify nationwide implementation. For example, it is important to know whether the results of such intensive face-to-face clinical pharmacy services can be generalized from an academic medical center to large community populations and how such a program would be organized. Once Part D data are available, the Centers for Medicare & Medicaid Services should fund studies evaluating benefits and costs of alternative medication therapy management interventions in Part D plans (eg, face-to-face vs impersonal approaches) to inform future policies.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 3
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.