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Factors affecting Medicare P... [J Am Pharm Assoc (2003). 2013 Sep-Oct] - PubMed - NCBI

Factors affecting Medicare P... [J Am Pharm Assoc (2003). 2013 Sep-Oct] - PubMed - NCBI

 2013 Sep-Oct;53(5):482-7. doi: 10.1331/JAPhA.2013.12233.

Factors affecting Medicare Part D beneficiaries' decision to receive comprehensive medication reviews.



To identify factors influencing Medicare Part D beneficiaries' decision to receive pharmacist-provided comprehensive medication reviews (CMRs) and to evaluate their experiences with pharmacist-provided CMRs.


Cross-sectional descriptive study.


Beneficiaries living in Maryland or Minnesota, from November 2011 to January 2012.


Medicare beneficiaries of two Medicare Part D plans who had completed a previous telephone interview for a larger project of medication therapy management quality improvement.


Self-reported mail survey.


Responses to survey items assessing beneficiaries' perceived importance of proposed factors affecting their decision to receive CMRs and items evaluating patients' experiences with pharmacist-provided CMRs if they had one in the previous year.


The valid response rate was 33.4% (238 of 713). Among the proposed factors, "knowing the out-of-pocket cost" (4.12 ± 1.28 [mean ± SD]) and "conducting in the usual pharmacy" (4.01 ± 1.37) were most important in making a decision to get a CMR. Factors rated significantly more important by those who had versus had not received a CMR included "usual pharmacy," "receiving medication list," "physician's support," and "pharmacists discuss changes with physicians." About one-third (30.6%) of respondents reported having pharmacist-provided CMRs within the previous year. Most respondents believed that having CMRs was important for their health (90.6%) and were satisfied with the results of CMRs (94.7%).


Patients preferred their usual pharmacy or convenient places to have a CMR. Also, a collaborative pharmacist-physician working relationship would be helpful in providing CMRs. Patients who received CMRs expressed a positive attitude toward and satisfaction with pharmacist-provided services.

[PubMed - indexed for MEDLINE]

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