Patient-Centered Medical Homes and Adherence to Chronic Disease Medications
Authors: Julie C. Lauffenburger, Jessica M. Franklin, Niteesh K. Choudhry
Journal: Annals of Internal Medicine (2017)

Letters16 May 2017Patient-Centered Medical Homes and Adherence to Chronic Disease MedicationsJulie C. Lauffenburger, PharmD, PhD, Jessica M. Franklin, PhD, and Niteesh K. Choudhry, MD, PhDJulie C. Lauffenburger, PharmD, PhDFrom Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.Search for more papers by this author, Jessica M. Franklin, PhDFrom Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.Search for more papers by this author, and Niteesh K. Choudhry, MD, PhDFrom Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L17-0158 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Because our study was retrospective, we agree with Dr. Kearns that its findings were associations between medical homes and adherence and that the design does not allow for a true ascertainment of causality. We also agree that our study highlights this association and does not examine other clinical outcomes. However, adherence to long-term medications, particularly those studied here, is closely linked to other clinical outcomes and has been widely used by payers and providers as key performance measures (1, 2). Nevertheless, we agree that future work should address and further evaluate clinical outcomes of medical homes.Dr. Kearns ...References1. Choudhry NK, Avorn J, Glynn RJ, Antman EM, Schneeweiss S, Toscano M, et al; Post-Myocardial Infarction Free Rx Event and Economic Evaluation (MI FREEE) Trial.. Full coverage for preventive medications after myocardial infarction. N Engl J Med. 2011;365:2088-97. [PMID: 22080794] doi:10.1056/NEJMsa1107913 CrossrefMedlineGoogle Scholar2. Choudhry NK, Glynn RJ, Avorn J, Lee JL, Brennan TA, Reisman L, et al. Untangling the relationship between medication adherence and post-myocardial infarction outcomes: medication adherence and clinical outcomes. Am Heart J. 2014;167:51-58. [PMID: 24332142] doi:10.1016/j.ahj.2013.09.014 CrossrefMedlineGoogle Scholar3. Fischer MA, Choudhry NK, Bykov K, Brill G, Bopp G, Wurst AM, et al. Pharmacy-based interventions to reduce primary medication nonadherence to cardiovascular medications. Med Care. 2014;52:1050-4. [PMID: 25322157] doi:10.1097/MLR.0000000000000247 CrossrefMedlineGoogle Scholar4. Viswanathan M, Golin CE, Jones CD, Ashok M, Blalock SJ, Wines RC, et al. Interventions to improve adherence to self-administered medications for chronic diseases in the United States: a systematic review. Ann Intern Med. 2012;157:785-95. [PMID: 22964778] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-2659. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAssociation Between Patient-Centered Medical Homes and Adherence to Chronic Disease Medications Julie C. Lauffenburger , William H. Shrank , Asaf Bitton , Jessica M. Franklin , Robert J. Glynn , Alexis A. Krumme , Olga S. Matlin , Edmund J. Pezalla , Claire M. Spettell , Gregory Brill , and Niteesh K. Choudhry Patient-Centered Medical Homes and Adherence to Chronic Disease Medications Patrick Kearns Metrics 16 May 2017Volume 166, Issue 10Page: 761-762KeywordsDisclosureDrug research and developmentForecastingOdds ratioPerformance measuresPharmacistsRegression analysisRetrospective studies ePublished: 16 May 2017 Issue Published: 16 May 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...