title: Improving outpatient primary medication adherence with physician guided, automated dispensing.
abstract: BACKGROUND
  Physician dispensing, different from pharmacist dispensing, is a way for practitioners to supply their patients with medications, at the point of care. The InstyMeds dispenser and logistics system can automate much of the dispensing, insurance adjudication, inventory management, and regulatory reporting that is required of physician dispensing.
  
  
  OBJECTIVE
  To understand the percentage of patients that exhibit primary adherence to medication in the outpatient setting when choosing InstyMeds.
  
  
  METHODS
  The InstyMeds dispensing database was de-identified and analyzed for primary adherence. This is the ratio of patients who dispensed their medication to those who received an eligible prescription.
  
  
  RESULTS
  The average InstyMeds emergency department installation has a primary adherence rate of 91.7%. The maximum rate for an installed device was 98.5%.
  
  
  CONCLUSIONS
  Although national rates of primary adherence have been found to be in the range of 70%, automated physician dispensing vastly improves the rate of adherence. Improved adherence should lead to better patient outcomes, fewer return visits, and lower healthcare costs.
authors.affiliation: Bioinformatics and Computational Biology; Carlson School of Management, University of Minnesota, Minneapolis, MN, USA.
authors.forename: Jacob G
authors.initials: JG
authors.lastname: Moroshek
keywords: InstyMeds; adherence; automated dispensing; compliance; medication; physician dispensing