2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. [email protected]...
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Transcript of 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. [email protected]...
![Page 1: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/1.jpg)
2013 National Consumer Survey on the Medication Experience
Jon C. Schommer, [email protected]
University of Minnesota, College of Pharmacy
![Page 2: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/2.jpg)
Background
• Over 500 million times per day in the United States, individuals make the decision to-take or not-to-take a prescription medication.
• Eighty percent of the way chronic diseases are prevented and managed is with medications.
• A person’s regular interaction with medications is not only a frequently and consistently occurring health care event, it also interfaces with almost all other aspects of his or her health care.
![Page 3: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/3.jpg)
Study Assumption
Individuals enter and exit various components of the health-care system and they shift between their preferred identity as a person and their sometimes necessary identify as a patient.
The “medication experience” can be a unifying and coordinating concept to bridge this dichotomy.
![Page 4: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/4.jpg)
The Medication Experience
• The personal approach to the use of medications.
• It is shaped by traditions, religion, culture life experiences, and what has been learned from others.
• It influences expectations, concerns, understanding, involvement, confidence, trust, decisions, and behaviors.
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The Medication Experience
![Page 6: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/6.jpg)
The Medication Experience
![Page 7: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/7.jpg)
The Medication Experience
![Page 8: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/8.jpg)
The Medication Experience
![Page 9: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/9.jpg)
The Medication Experience
![Page 10: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/10.jpg)
The Medication Experience
![Page 11: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/11.jpg)
The Medication Experience
![Page 12: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/12.jpg)
The Medication Experience
![Page 13: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/13.jpg)
The Medication Experience
![Page 14: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/14.jpg)
The Medication Experience
![Page 15: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/15.jpg)
The Medication Experience
![Page 16: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/16.jpg)
The Medication Experience
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The Challenge
• Patients vary widely in their make-up, their preferences, and their needs.
• Patients have different abilities, motivations, and social support systems.
• The challenge, then, is to meet the needs of each individual.
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2013 NCSME: Study Objective
• Identify and describe consumer segments based on:– Health care consumer type– Medication beliefs– Patient activation– Information seeking– Nature of interactions with health professionals
for decision-making
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2013 NCSME: Methods
• Cross-sectional, descriptive mailed survey.
• Random sample of 1,000 adult individuals residing in the United States.
• 136 were undeliverable and 93 signified that the person to whom the survey was addressed was not able to participate in the study.
• Of the remaining 771 surveys, 218 (28%) responded.
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Average Population Density by Square Mile
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Geographic Distribution of Responders to the 2013 NCSME
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U.S. Census Divisions
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National Consumer Survey on the Medication Experience
• http://www.d.umn.edu/gac/main/schommer.html
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Context: Heart Disease in the United States
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Context: Health Professional Shortage Areas
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Context: Medically Underserved Areas
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Context: Prevalence of COPD
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Context: Median Household Income
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Context: Median Age
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Health Care Consumer Type
36%
14%
38%
12%
HEALTHY HALF DOCTOR LED SELF MANAGERS SOLUTION SEEKERS
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The SOLUTION SEEKER was more likely to:
1. Be of moderate age2. Be moderate user of prescription drugs3. Experience highest financial hardship4. Use mail order pharmacies5. View meds as a necessity, but not a burden6. Report low patient activation7. Prefer a shared relationship with their physician
and interact with their pharmacists for advice, negotiation, or professional relationship.
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Medication Beliefs: Necessity / Concern
30%
28%
21%
21%
HI SAVE HI BURDENHI SAVE LO BURDENLO SAVE HI BURDENLO SAVE LO BURDEN
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The LO SAVE/HI BURDEN was more likely to:
• Be of moderate age• Be a low-to-moderate user of prescription drugs• Experience moderate financial hardship• Vary in terms of health consumer type• Have the highest OVERUSE/HARM beliefs• Report medium patient activation• Experience low satisfaction and high overload with
information about medications• Vary in their preferences regarding the nature of
interactions with their physician and pharmacist.
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Medication Beliefs: Overuse / Harm
32%
28%
23%
17%
LO OVERUSE LO HARMLO OVERUSE HI HARMHI OVERUSE LO HARMHI OVERUSE HI HARM
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The HI OVERUSE/HI HARM was more likely to:
• Reside in the West census region• Be a low-user of prescription drugs• Experience moderate financial hardship• Use a clinic pharmacy or no pharmacy at all• Have LO SAVE/HI BURDEN medication beliefs• Experience low satisfaction and high overload with
information about medications• Vary in their preferences regarding the nature of
interactions with their physician and pharmacist.
![Page 36: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/36.jpg)
Patient Activation (involved/engaged)
25%
61%
14%
HIGH MEDIUM
LOW
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The HIGH PATIENT ACTIVATION was more likely to:
• Be of younger age• Be female• Be a Self-Manager health care consumer type• Have LO SAVE / LO BURDEN medication beliefs• Experience high satisfaction and low overload with
information about medications• Be in the ALL HIGH segment for shared decision
making with healthcare providers (that is, highly engaged).
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Information Seeking Behaviors
18%
47%
35%
HIGH MEDIUM
LOW
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The HIGH INFORMATION SEEEKING was more likely to:
• Be of younger age
• Be Black
• Prefer a shared relationship with their physician and want to interact with their pharmacist for advice, negotiation, or professional relationship.
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Information Evaluation
52%
32%
16%
HI SAT LO LOAD
MED SAT MED LOAD
LO SAT HI LOAD
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The LO SAT / HI LOAD was more likely to:
• Have HI SAVE / HI BURDEN medication beliefs
• Have HI OVERUSE / HI HARM medication beliefs
• Be in the LOW Patient Activation segment
• Prefer an informed/paternalistic relationship with their physician and prefer to use their pharmacist as an information source only.
![Page 42: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/42.jpg)
Interactions with MD and RPh
46%
39%
24%MD Shared RPh Information
MD Shared RPh Adv,Neg,Rel
MD Informed/Paternalistic RPh Information
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The MD Informed/Paternalistic and RPh Information only was more likely to:
• Moderately high financial burden
• Be the Self-Manager healthcare consumer type
• Have HI SAVE / HI BURDEN medication beliefs
• Have LO OVERUSE / HI HARM medication beliefs
• Be relatively low information seekers
• have relatively low satisfaction and high overload with information about medications.
![Page 44: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/44.jpg)
Shared Decision-Making
49%
42%
9%
HIGH MEDIUM
LOW
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The HIGH Shared-Decision Making group tended to be:
• Female
• High for Patient Activation
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Conclusions
• The medication experience is more than a clinical experience – it is a social and personal experience.
• The medication experience is rooted in medication beliefs, personal abilities and motivations, information processing, decision-making relationships, finances, and the effects of life experiences.
![Page 47: 2013 National Consumer Survey on the Medication Experience Jon C. Schommer, Ph.D. schom010@umn.edu University of Minnesota, College of Pharmacy.](https://reader035.fdocuments.us/reader035/viewer/2022062718/56649e795503460f94b792de/html5/thumbnails/47.jpg)
Future Work
• Expand the identification and description of segments based on components of the medication experience.
• Incorporate components of the medication experience into patient care processes
• Build systems for identifying and matching patients and providers based upon preferences and capacities in the medication experience domain.
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