Assessing Medication Adherence and Healthcare Utilization and Cost Patterns Among Hospital-Discharged Patients with Schizoaffective Disorder

Sudeep Karve (), Michael Markowitz, Dong-Jing Fu, Jean-Pierre Lindenmayer, Chi-Chuan Wang, Sean Candrilli and Larry Alphs

Applied Health Economics and Health Policy, 2014, vol. 12, issue 3, 335-346

Abstract: We observed considerably lower (46 %) adherence during 60 days prior to the inpatient admission; in comparison, adherence for the overall 6-month period was 8 % (54 %) higher. Our study findings suggest that both short-term (e.g., 60 days) and long-term (e.g., 6–12 months) medication adherence likely are important characteristics to examine among patients with schizoaffective disorder and help provide a more holistic view of patients’ adherence patterns. Furthermore, we observed a high rate of rehospitalization and greater healthcare costs during the initial 60-day period post-discharge among patients with schizoaffective disorder. Further research is required to better understand and manage transitional care after discharge (e.g., monitor adherence), which may help reduce the likelihood of rehospitalization and the associated downstream costs. Copyright The Author(s) 2014

Date: 2014
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DOI: 10.1007/s40258-014-0095-8

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