Association Between Pharmacy Closures and Adherence to Cardiovascular Medications Among Older US Adults | Zendy

Dima M. Qato | Zendy; G. Caleb Alexander | Zendy; Apurba Chakraborty | Zendy; Jenny S. Guadamuz | Zendy; John E. Jackson | Zendy

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Association Between Pharmacy Closures and Adherence to Cardiovascular Medications Among Older US Adults

Author(s) -

Dima M. Qato,

G. Caleb Alexander,

Apurba Chakraborty,

Jenny S. Guadamuz,

John E. Jackson

Publication year - 2019

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2019.2606

Subject(s) - pharmacy , medicine , medical prescription , cohort , retrospective cohort study , cohort study , demography , physical therapy , family medicine , pharmacology , sociology

Key Points Question What is the association between pharmacy closures and adherence to cardiovascular medications among US adults 50 years or older? Findings Among 3.1 million individuals in this national cohort study, older adults filling statins, β-blockers, or oral anticoagulants at pharmacies that closed experienced an immediate statistically and clinically significant decline in adherence during the first 3 months after closure compared with their counterparts. This difference persisted over 12 months and was greater among older adults living in neighborhoods with fewer pharmacies. Meaning Efforts to reduce nonadherence to prescription medications among older US adults should consider the role of pharmacy closures, especially among patients at highest risk.

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