179466 Association of Medication Noncompliance and Preventable Hospitalization: A Literature Analysis and Direct Costs Associated with Preventable Hospitalizations

Wednesday, October 29, 2008: 11:00 AM

Arpit Misra , Economics Department, UNIVERSITY OF MARYLAND BALTIMORE COUNTY, Baltimore, MD
Abstract: This study used a meta-analytic approach to systematically search, compile, and summarize the existing literature on hospitalization related to medication noncompliance and estimate direct costs associated with these hospitalizations. Applying strict criteria produced 26 studies and a total of 46,150 admissions with comparable methodologies for evaluation. Analysis revealed that 6.43 percent of admissions can be attributed to drug therapy noncompliance and, therefore, might be preventable. Using annual admission rates and inpatient hospital costs from Healthcare Cost and Utilization Project, the study estimate over 2.5 million admissions were due to drug therapy noncompliance. This represents $16 billion in unnecessary hospital expenditures in 2005, approximately 1.92 percent of all inpatient hospital expenditures that year.

Learning Objectives:
With ever increasing inpatient hospitalizations, it becomes important to examine the preventable ones. This research attempts to quantify the preventable hospitalization as well as the direct costs associated with medication noncompliance using previously published data from a variety of studies.

Keywords: Adherence, Health Care Utilization

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the primary and only author.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.