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Measuring Adherence to Chronic Disease Treatment Using Dispensing Data: An Example from Thailand

Measuring Adherence to Chronic Disease Treatment Using Dispensing Data: An Example from Thailand. Sauwakon Ratanawijitrasin, PhD Sanita Hirunrassamee , PhD. Why?. E-dispensing data are routinely collected by health facilities.

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Measuring Adherence to Chronic Disease Treatment Using Dispensing Data: An Example from Thailand

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  1. Measuring Adherence to Chronic Disease Treatment Using Dispensing Data:An Example from Thailand Sauwakon Ratanawijitrasin, PhD SanitaHirunrassamee, PhD

  2. Why? E-dispensing data are routinely collected by health facilities. Use of e-dispensing database allows routine adherence monitoring  guide interventions for improving use of medicines. Data pool, if available, allows routine population level monitoring. Quality indicators  performance evaluation

  3. Objectives Applicability Medicines with high specificity for selected illness conditions • To demonstrate the use of e-dispensing database collected by health facilities to monitor adherence in long term care • To identify technical and contextual challenges

  4. Patient selection ICD-10 database Dispensing database Non SP Med  Med use SP med ICD-10 +med use Sp med Non Sp Med ICD-10 +med use Sp med

  5. Antiepileptic Drug Neuropathic pain drug Gabapentin Oxcarbazepine Carbamazepine • Na.valpoate inj. • Phenytoin • Phenobarbital • Levtiracepam Specific medicine Topiramate Sod. Valpoate oral form Lamotrigine Sod. Valpoate oral form Psychotic drug Migraine drug

  6. HIV drug NELFINAVIR NEVIRAPINE SAQUINAVIR STAVUDINE TENOFOVIR ZIDOVUDINE Specific medicine • 150 mg • Lamivudine • 100 mg • Antiviral for Hep. B

  7. # of patients identified by ….

  8. % Day Coverage of HIV patients 24 month Patient group Time to discontinuation Company Logo

  9. Individual patient Medication Coverage with overlapping days supply

  10. TREATMENT CHANGE MEDICAL SHOPPING DATA POOL: no interhospital data pool ICD-10 DATA: incomplete CHALLENGEs DRUG CODE: diff codes for diff systems APPOINTMENT DATA: not integrated DOSAGE DATA: might not be available

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