Accepted Type
Facilitated and Dedicated Poster
Code
LP11 - 02
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Graduate Student
Affiliation
Considered for Poster
yes
Title
Addressing Cost-Related Nonadherence: Our Experiences Supporting Patients in a Tertiary Healthcare Organization
Length of Presentation
Background/Purpose
The foundation of Canada's health care system is the notion of universal access, which means all citizens have access to medical care according to need rather than ability to pay. This idea, however, does not capture the system's complexities. While the system covers the full costs of hospitalizations, diagnostic tests, and physician visits, prescription medication is not covered. When a patient cannot afford and therefore does not take their prescribed medication, it is called cost-related nonadherence (CRNA), which is the subject of my study. My thesis explores organizational approaches to supporting patients who face financial barriers to medication. I ask how might an organization systematically support patients facing CRNA to prescription medication?
Methods
For my study I used action research and knowledge translation as the methodological framework and borrowed methods from design thinking, to engage key stakeholders to explore solutions to CRNA. I engaged multidisciplinary stakeholders from Vancouver General Hospital including physicians, nurse practitioners, directors, managers, nurses, social workers, pharmacists, researchers and patients, in a two-day Medication Affordability Workshop. The Design Thinking methods included, expert presentation, brainstorming, dotmocracy, S.W.O.T analysis, and road mapping.
Results
Data was categorized and themed, in order to identify patterns. Based on the patterns, results found that experts wanted to focus on drug plan enrollment solutions, everyone engagement, and development of a specialized role to support patients facing CRNA.
Conclusion
Addressing CRNA requires a collaborative effort amongst key stakeholders which includes education, engagement, and development of actionable strategies to support patients.
Keyword 1
Cost Related Nonadherence
Keyword 2
Healthcare rovider and patinet education
Keyword 3
Engagement
Level of Training
Post Graduate
Abstract Themes
Inter-professional Education
Additional Theme (First choice)
Continuing Medical Education
Additional Theme (Second Choice)
Patient Safety
Additional Theme (Third Choice)
Leadership
Authors
Presenter
(Hardeep) Kimi Manhas
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
