title: Factors affecting Medicare Part D beneficiaries' decision to receive comprehensive medication reviews.
abstract: OBJECTIVE
  To identify factors influencing Medicare Part D beneficiaries' decision to receive pharmacist-provided comprehensive medication reviews (CMRs) and to evaluate their experiences with pharmacist-provided CMRs.
  
  
  METHODS
  Cross-sectional descriptive study.
  
  
  METHODS
  Beneficiaries living in Maryland or Minnesota, from November 2011 to January 2012.
  
  
  METHODS
  Medicare beneficiaries of two Medicare Part D plans who had completed a previous telephone interview for a larger project of medication therapy management quality improvement.
  
  
  METHODS
  Self-reported mail survey.
  
  
  METHODS
  Responses to survey items assessing beneficiaries' perceived importance of proposed factors affecting their decision to receive CMRs and items evaluating patients' experiences with pharmacist-provided CMRs if they had one in the previous year.
  
  
  RESULTS
  The valid response rate was 33.4% (238 of 713). Among the proposed factors, "knowing the out-of-pocket cost" (4.12 ± 1.28 [mean ± SD]) and "conducting in the usual pharmacy" (4.01 ± 1.37) were most important in making a decision to get a CMR. Factors rated significantly more important by those who had versus had not received a CMR included "usual pharmacy," "receiving medication list," "physician's support," and "pharmacists discuss changes with physicians." About one-third (30.6%) of respondents reported having pharmacist-provided CMRs within the previous year. Most respondents believed that having CMRs was important for their health (90.6%) and were satisfied with the results of CMRs (94.7%).
  
  
  CONCLUSIONS
  Patients preferred their usual pharmacy or convenient places to have a CMR. Also, a collaborative pharmacist-physician working relationship would be helpful in providing CMRs. Patients who received CMRs expressed a positive attitude toward and satisfaction with pharmacist-provided services.
authors.forename: William R
authors.initials: WR
authors.lastname: Doucette
authors.forename: Yiran
authors.initials: Y
authors.lastname: Zhang
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Chrischilles
authors.forename: Jane F
authors.initials: JF
authors.lastname: Pendergast
authors.forename: Brand A
authors.initials: BA
authors.lastname: Newland
authors.forename: Karen B
authors.initials: KB
authors.lastname: Farris
authors.forename: Jessica
authors.initials: J
authors.lastname: Frank
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D003625:Data Collection; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008396:Maryland; D054524:Medicare Part D; D054539:Medication Therapy Management / Q000458:organization & administration*; D008875:Middle Aged; D008910:Minnesota; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010593:Pharmaceutical Services / Q000458:organization & administration; D010595:Pharmacists / Q000458:organization & administration*; D024382:Professional Role; D014481:United States