Table 4 Analytical Themes and Descriptive Codes × Number of Flags
N | Ref | Analytical Theme/Analytical Sub-theme/ Descriptive codes | Explanatory Note | Example code | |
|---|---|---|---|---|---|
78 | A.1 | Non-health record data is key to encouraging follow-up | |||
39 | A.1.1 | Data gathered from other record keeping systems | |||
14 | F.1.2 | Hospital Admission | Different dispensing system, no data | “Recent hospital admission discharged [DATE] case manager confirmed current compliance” | |
5 | F.1.3 | Incarcerated | Different dispensing system, no data | “Given antipsychotic and oral meds in June. (so likely a delay in PBS data) This client is now in remand. Prison health service has been made aware of medications. No longer residing in our catchment area.” | |
5 | F.2.4 | Clozapine | Monitored elsewhere in service | “R/v client file. P/c and 1:1 with partners GP. Client presented for GP appt and collected script for clozapine on [DATE]. Nil concerns raised” | |
2 | F.2.5 | Depot records showing compliance | “Accumulating data from all sources client received depot as prescribed on the below dates:…” | ||
13 | N.1.2 | In residential care | Monitored by facility in Aus. context | “Lives in boarding house where medication is supervised” | |
32 | A.1.2 | Data gathered person-to-person | |||
5 | F.2.2 | Client Confirmed | “[DATE]: contact with client. confirmed compliance. no problems” | ||
14 | F.2.3 | Clinician or Case Manager Confirmed | “Case manager: According to CPMS all medication has been dispensed for every month” | ||
4 | F.2.6 | Family confirmed | “Client's mother pick-ups the medication and deliver at his place” | ||
2 | F.3.2 | Client lost to follow-up, case manager pursuing | Client disappeared, or disengaged | “Client whereabouts unknown. Case manager aware of non-compliance” | |
2 | F.3.3 | Client refused further intervention | “P/C to client, declined services. Fax sent to GP.” | ||
1 | F.3.4.2 | Initiated with Medical professional support | “Spoke to client, stopped antipsychotic as recommended by [psychiatrist]” | ||
3 | F.3.4.3 | Patient initiated, unsupported | “Stopped taking medication as he had been on it for a long time (2 months) and it did not help.” | ||
2 | N.2.4.1 | Patient has case manager | Unclear if C.M. was followed up | “Case managed, known non-compliance” | |
123 | A.2 | Deferral to closer clinical contacts of the non-adherent person (Recency) | |||
14* | F.2.3 | Clinician or Case Manager Confirmed | “Case manager: According to CPMS all medication has been dispensed for every month” | ||
11 | N.1.1 | Changed Medication | “Paliperidone injection monthly changed to 3-monthly (TRINZA)” | ||
15 | N.1.5 | Seen their GP, while | “Seen GP since, assuming it was intended as CPZ was commenced since” | ||
13 | N.1.5.1 | Compliant with other medications | “Regular in everything else, likely per Gp” | ||
2 | N.1.5.2 | Started a new medication | “GP seemingly trying different antidepressants” | ||
68 | N.2.2 | GP visit regularity only source of data for assumption | “Several GP appts since- assuming intentioned” | ||
166 | A.3 | Rules don’t always meet the contextual needs of prescribers and patients | |||
115 | A.3.1 | Medications are prescribed and taken in more than one way | |||
79 | N.1.3 | Likely PRN | PRN = taken as needed | “PRN medication such as diazepam and oxacepan should not set triggers” | |
22 | N.1.4 | Script likely a short-term solution | “Was a once off script, regular GP visits” | ||
14 | N.2.1 | Assumed to be a trial | “As only once dispensed I assume that it was poorly tolerated” | ||
51 | A.3.2 | This style of follow-up is not always warranted or appropriate | |||
42 | N.2.3 | Irregular prescription pickup pattern | Ie., assumed normal behaviour for pt | “Likely timing issue, picked up the last repeat too early, long term very reliable” | |
9 | N.2.4 | Patient known to be non-compliant, not followed up | “Patient has a history of noncompliance with limited benefit of medication, as such likely real alert but no action taken before next scheduled review” | ||