Computation of adherence to medication and visualization of medication histories in R with AdhereR: Towards transparent and reproducible use of electronic healthcare data
نویسندگان
چکیده
Adherence to medications is an important indicator of the quality of medication management and impacts on health outcomes and cost-effectiveness of healthcare delivery. Electronic healthcare data (EHD) are increasingly used to estimate adherence in research and clinical practice, yet standardization and transparency of data processing are still a concern. Comprehensive and flexible open-source algorithms can facilitate the development of high-quality, consistent, and reproducible evidence in this field. Some EHD-based clinical decision support systems (CDSS) include visualization of medication histories, but this is rarely integrated in adherence analyses and not easily accessible for data exploration or implementation in new clinical settings. We introduce AdhereR, a package for the widely used open-source statistical environment R, designed to support researchers in computing EHD-based adherence estimates and in visualizing individual medication histories and adherence patterns. AdhereR implements a set of functions that are consistent with current adherence guidelines, definitions and operationalizations. We illustrate the use of AdhereR with an example dataset of 2-year records of 100 patients and describe the various analysis choices possible and how they can be adapted to different health conditions and types of medications. The package is freely available for use and its implementation facilitates the integration of medication history visualizations in open-source CDSS platforms.
منابع مشابه
Nursing Satisfaction with Medication Care by Using Neonatal Electronic Medication Management Systems
Background: Medication management is a complex process with multiple stages that involves different health care teams. Based on the evidence, an electronic medication management system offers significant benefits, such as reduced medication errors, improved conformity, enhanced time and cost efficiency, and increased patient safety. This study aimed to design and implement an electronic medicat...
متن کاملRelationship between Cognitive Status and Medication Adherence among Elderly Patients with Hypertension
Introduction and purpose: Poor medication adherence may result in adverse outcomes, such as a higher rate of hospitalization and increased costs of healthcare. In this regard, the present study was designed to determine the relationship between cognitive status and medication adherence among elderly patients with hypertension. Methods: In this cross-sectional study, 180 elderly patients with h...
متن کاملExploring Illness Causal Beliefs and its Relationship with Medication Adherence and Demographic Characteristics among a Sample of Patients with Type 2 Diabetes in Isfahan-Iran
Abstract Objective: There is some evidence that causal beliefs are related with adherence behaviors. The aim of the present study was to explore the relationship between illness causal beliefs, demographic factors and medication adherence among a group of patients with type 2 diabetes. Materials and Methods: Ninety-three patients with type 2 diabetes participated in this study using convenien...
متن کاملThe Relationship Between Medication Adherence and Coping Skills in Patients With Heart Failure
Introduction: Medication adherence is essential to improve outcomes emanated from the disease. The increase in the complexity of the medical regimens causes poor adherence in patients with heart failure; also, the progressive nature of Heart Failure (HF) and its complicated drug regimens are mostly stressful. This study has been conducted on the HF patients at the heart hospital of Kermanshah c...
متن کاملMedication adherence rate and related factors in patients with acute coronary syndrome after discharge from Shahid Beheshti Hospital in Kashan during 2017-2018
Background: Adherence to the medication regimen in patients with heart disease is very important and adherence to treatment is considered as an important factor in better control of disease. The aim of this study was to determine the rate of medication adherence and its related factors in patients with cardiovascular diseases after discharge from Shahid Beheshti Hospital in Kashan. Materials an...
متن کامل