ARE MEANINGFUL DISCUSSIONS ABOUT ADHERENCE IN REIMBURSEMENT SUBMISSIONS OF CHRONIC DISEASES HINDERED BY REPORTING HETEROGENEITY?

Author(s)

Quigley JM1, Halfpenny NJ2, Ward KE3, O'Rourke JM4, Thompson JC5, Scott DA1
1ICON Clinical Research UK Ltd, Abingdon, UK, 2ICON Health Economics, Abingdon, UK, 3ICON Health Economics and Epidemiology, Abingdon, UK, 4ICON Health Economics & Epidemiology, Abingdon, UK, 5ICON, Abingdon, UK

OBJECTIVES: Non-adherence to medication is a barrier to effective treatment of chronic conditions impacting cost, morbidity and mortality. Best practice guidelines recommend that a measure of adherence should be incorporated into pharmacoeconomic submissions, however, this is confounded by a lack of consensus on standardised definitions and appropriate quantitative measurements. We conducted a review to identify the most commonly reported quantitative measures of adherence and those recommended by bodies that produce healthcare guidance and drug regulations. METHODS: A targeted search for systematic reviews of adherence published in 2015 was carried out in EMBASE, MEDLINE and MEDLINE-in-process. Disease specific recommendations were searched for from key organisations which produce healthcare guidance in a selection of chronic diseases; diabetes, rheumatoid arthritis, hepatitis C, HIV and COPD. Materials from the FDA, EMA, CDC, ISPOR and WHO were also screened. RESULTS:

Conference/Value in Health Info

2016-05, ISPOR 2016, Washington DC, USA

Value in Health, Vol. 19, No. 3 (May 2016)

Code

PRM15

Topic

Clinical Outcomes

Topic Subcategory

Clinical Outcomes Assessment

Disease

Multiple Diseases

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