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Drug Non-Adherence Linked to Greater Pediatric Health Care Use

Drug Non-Adherence Linked to Greater Pediatric Health Care Use

More hospitalizations, visits to the emergency department in children with chronic conditions

THURSDAY, Sept. 5 (HealthDay News) -- In children and adolescents with chronic medical conditions, medication non-adherence is associated with greater health care use, including more hospitalizations and visits to the emergency department, according to a study published online Sept. 2 in Pediatrics.

Meghan E. McGrady, Ph.D., and Kevin A. Hommel, Ph.D., from the Cincinnati Children's Hospital Medical Center, identified and reviewed 10 studies that examined the association between medication non-adherence and health care use or cost in children and adolescents with a chronic medical condition.

The researchers found that 90 percent of studies noted an association between medication non-adherence and greater health care use. The directionality depended on the outcome of interest, with non-adherence associated with more hospitalizations and visits to the emergency department, but fewer outpatient visits.

"Medication non-adherence is related to increased health care use in children and adolescents who have a chronic medical condition and should be addressed in clinical care," McGrady and Hommel conclude.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1451.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1451.full.pdf+html )