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Volume 6, Issue 1, Pages 70-77 (March 2010)


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Electronically transmitted prescriptions not picked up at pharmacies in Sweden

Fredrik Ax, M.Sc.(Pharm.)a, Anders Ekedahl, M.Sc.(Pharm.), Ph.D.(Med. Sc.)bcCorresponding Author Informationemail address

published online 12 October 2009.

Abstract 

Background

Electronically transmitted prescriptions (ETPs) became common after 1995 in Sweden; however, it is accompanied by a substantial increase in the number of prescriptions not picked up at pharmacies.

Objective

To investigate the “no pick-up” rates of ETPs at pharmacies across type of drug and patient age and gender and the reasons patients' report for no pick-up.

Methods

A cross-sectional study examining no pick-up of ETPs transmitted during 3 months in 2002, and a mail survey of patients to determine the reasons for failure to pick-up in the county of Sörmland, Sweden, with a population of 261,000, and 21 pharmacies. Chi-square tests were used for calculations of frequency differences among groups.

Results

The overall no pick-up rate of ETPs was 2.5%; men had consistently higher rates than women. The highest rates were seen for adolescents and young adults. Rates were higher than average for antibiotics. About 60% of the answers indicated that prescriptions not picked up were duplicate prescriptions or not needed. “Unintentional nonadherence” was reported by one-fifth of patients.

Conclusions

No pick-up rate in general was low (2.5%), but there were differences across patient age and gender, the rates being higher among adolescents and young adults. Duplicate prescriptions may explain a significant share of the abandoned prescriptions.

a Apoteket Västerås Hospital EA, Västerås Central Hospital, SE-721 89 Västerås, Sweden

b R&D Department, Apoteket AB, Apoteket Lejonet, Stortorget 8, SE-211 34 Malmö, Sweden

c School of Pure and Applied Natural Sciences, University of Kalmar, SE-391 82 Kalmar, Sweden

Corresponding Author InformationCorresponding author. Tel.: +46 70 545 1057; fax: +46 40 97 00 89.

PII: S1551-7411(09)00074-6

doi:10.1016/j.sapharm.2009.06.003


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