Non-adherence to medications contributes to adverse treatment outcomes, higher morbidity, and additional hospitalizations. Pill packaging provides a mechanism for patients with polypharmacy to take all medications at designated times. A meta-analysis in 2014 on the benefit of pill packing revealed adherence to medications increased from 63% to 71%. This study evaluates the impact of pill packing intervention on health outcomes among obese and high-risk patients. An in-depth chart review from 2016 to 2018 was performed for each patient at Ochsner MedVantage (n=40). We compared health markers from six (6) months prior to and following the PP intervention. Repeated measure ANOVA was used for statistical analysis. Statin adherence is 100%. The percentage of MV patients with controlled blood pressure (BP≤140/90) increased from 50% before PP to 83% after PP (p < 0.001). Mean values and interquartile ranges of low-density lipoprotein (LDL), hemoglobin A1c (HbA1c), and body mass index (BMI) all decreased respectively (93 to 81 with p = 0.053, 7.7 to 7.3 with p = 0.109, 33.2 to 32.6 with p = 0.179). The percentage of MVC patients with at least one (1) emergency department (ED) visit in 6 months decreased from 48% before PP to 28% after PP (p <0.005). Pill-packing intervention increased medication adherence and improved health outcomes among obese and high-risk patients. There is a significant increase in BP control reduction in ED utilization.
Medical Perspectives, Physical Wellbeing, Chronic Disease, Pill-Packing, Medication, Polypharmacy
Medical Perspectives on Aging, Health, Wellness
Patient Care Coordinator and Clinical Research Intern, MedVantage Clinic, Ochsner Health System , United States
I am passionate about community engagement, as well as, global health and view it as my mission to address the disparities that exist in communities both locally and abroad.
Kathy Jo Carstarphen
Internal Medicine Physician, MedVantage Clinic, Ochsner Health System
Head Patient Care Coordinator and Clinical Research Intern, MedVantage Clinic, Ochsner Health System, United States
Patient Care Coordinator and Clinical Research Intern, Tulane University, United States