Bruce W Sherman

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This study evaluated adherence to medications used to treat chronic conditions for patients with 90-day prescriptions, comparing patients with access to workplace pharmacy services versus patients using mail order services. De-identified pharmacy claims data were used to compute medication possession ratio and gaps in therapy. Results were compared for(More)
OBJECTIVE To increase influenza vaccination rates among industrial employees and their families through a campaign at a large corporation. METHODS This prospective, multisite study used employee surveys and claims data to evaluate an evidence-based worksite vaccination program. RESULTS Vaccination rates among insured employees and dependents (N =(More)
Consumer-directed health care plans (CDHPs) present an opportunity to control health care costs. Health savings accounts (HSAs) and health reimbursement arrangements (HRAs) are two different approaches to providing pre-tax funding for CDHP enrollees. Each has a significant impact on the nature and business aspects of worksite health care. Worksite clinics(More)
Disease management's (DM's) value largely depends on achieving and maintaining participation. Simply being enrolled in a program does not guarantee engaged participation by enrollees, a necessary factor to achieve the improved health outcomes and subsequent reduced health care costs that are the ultimate objective of DM. The objective of this study is to(More)
OBJECTIVE To test the association between integrated workplace health and pharmacy care and medication adherence. STUDY DESIGN Adherence rates for commonly used chronic disease medications were compared in a retrospective, non-case-controlled study of 4476 workplace-treated patients versus 13,134 community-treated patients. METHODS Pharmacy claims data(More)
BACKGROUND Although vaccination rates in children exceed 90% in the United States, adults are vaccinated at far lower rates. In order to address this issue, additional community immunizers are needed, and pharmacists are in an ideal position to fill this void. OBJECTIVES To explore issues and barriers related to implementation of a pharmacy-based adult(More)
EXECUTIVE SUMMARY In recent years, the health care reform discussion in the United States has focused increasingly on the dual goals of cost-effective delivery and better patient outcomes. A number of new conceptual models for health care have been advanced to achieve these goals, including two that are well along in terms of practical development and(More)
OBJECTIVES To examine the relationship that the patient has with his/her healthcare practitioner as a factor affecting medication adherence. STUDY DESIGN Aggregate, physician-level adherence rates for patients were compared in a retrospective, non-case-controlled study of 3777 diabetes patients enrolled in a commercial pharmacy benefits program in a(More)
In recent years, the health care reform discussion in the United States has focused increasingly on the dual goals of cost-effective delivery and better patient outcomes. A number of new conceptual models for health care have been advanced to achieve these goals, including two that are well along in terms of practical development and implementation-the(More)