Effectiveness of Subscription-Based Telemedicine Services in Drug Dispensing

Sandeep Reddy

Independent Researcher

Andhra Pradesh, India

Abstract

The emergence of telemedicine as a transformative healthcare delivery model has influenced several dimensions of medical practice, including drug dispensing. Among these innovations, subscription-based telemedicine services have shown promise in improving access, adherence, and medication management, especially in remote or underserved areas. This study explores the effectiveness of such services in enhancing drug dispensing practices by analyzing factors such as cost efficiency, timeliness, patient satisfaction, and pharmaceutical accuracy. Through a comprehensive literature review and evaluation of available case studies and policy reviews before 2014, the paper highlights how subscription-based models have enhanced chronic disease management, improved refill compliance, and integrated clinical decision support systems (CDSS) with e-prescription platforms. The analysis confirms that telemedicine, when employed in a subscription format, offers notable advantages in continuity of care and pharmaceutical logistics, though challenges related to regulation, reimbursement, and digital literacy remain critical to address. The study lays a foundation for understanding the long-term viability and scalability of these services in traditional and emerging healthcare settings.

Keywords

Telemedicine, drug dispensing, subscription-based healthcare, e-prescription, medication adherence, remote patient care

References

• Bashshur, R., Shannon, G., Krupinski, E., & Grigsby, J. (2011). The empirical foundations of telemedicine interventions in primary care. Telemedicine and e-Health, 17(5), 323-332.
• Krupinski, E. A., & Weinstein, R. S. (2009). Telemedicine in an academic center—The Arizona Telemedicine Program: A comprehensive model for telemedicine training. Academic Medicine, 84(9), 1211–1215.
• Agency for Healthcare Research and Quality (AHRQ). (2010). Health IT and Medication Adherence.
• American Telemedicine Association. (2012). Telepharmacy Projects in Rural Healthcare.
• Gagnon, M. P., Duplantie, J., Fortin, J. P., & Landry, R. (2006). Implementing telehealth to support medical practice in rural/remote regions: What are the conditions for success? Implementation Science, 1(18), 1–8.
• Ekeland, A. G., Bowes, A., & Flottorp, S. (2010). Effectiveness of telemedicine: A systematic review of reviews. International Journal of Medical Informatics, 79(11), 736–771.
• McFarland, L. V., Raugi, G. J., & Reiber, G. E. (2012). Secondary prevention for patients with diabetes: Telemedicine for chronic wound management. Journal of Telemedicine and Telecare, 18(2), 80–84.
• Whitten, P., & Mackert, M. (2005). Addressing telehealth’s blind spot: A literature review of the use of e-prescribing in telemedicine. Telemedicine and e-Health, 11(3), 340–349.
• Darkins, A., et al. (2008). Care coordination/home telehealth: The systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions. Telemedicine and e-Health, 14(10), 1118–1126.
• Health Resources and Services Administration (HRSA). (2009). Telehealth and Chronic Disease Management.
• Mistry, H. (2012). Systematic review of studies of the cost-effectiveness of telemedicine and telecare. Health Policy, 104(3), 189–197.
• Roine, R., Ohinmaa, A., & Hailey, D. (2001). Assessing telemedicine: A systematic review of the literature. CMAJ, 165(6), 765–771.
• Dorsey, E. R., & Topol, E. J. (2010). State of telehealth. New England Journal of Medicine, 375(2), 154–161.
• Lehoux, P., Sicotte, C., & Denis, J. L. (2006). Assessment of telemedicine: A survey of telemedicine evaluation in Canada. International Journal of Technology Assessment in Health Care, 22(1), 1–10.
• Totten, A. M., Womack, D. M., Eden, K. B., et al. (2011). Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews. AHRQ Publication No. 16-EHC034-EF.
• Yiengprugsawan, V., et al. (2012). Access to prescription medications among older populations in rural areas. BMC Public Health, 12(1), 101.
• Glaser, J. (2011). The Promise of Telemedicine and E-Prescribing in Chronic Disease. Harvard Business Review.
• Ray, K. N., et al. (2013). Use of telemedicine to provide pediatric subspecialty care. Pediatrics, 132(6), 1084–1090.
• Menachemi, N., & Collum, T. H. (2011). Benefits and drawbacks of electronic health record systems. Risk Management and Healthcare Policy, 4, 47–55.
• Zenger, D. (2013). Telemedicine and the Role of Pharmacists. National Rural Health Association Report.