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Medication Adherence

This document discusses medication adherence, defined as the extent to which patients take medications as prescribed. It outlines factors influencing non-adherence, including therapy duration, disease characteristics, and patient socioeconomic factors, as well as strategies to improve adherence through educational interventions and regular follow-ups. The importance of patient engagement and support in the treatment process is emphasized to enhance adherence outcomes.

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38 views2 pages

Medication Adherence

This document discusses medication adherence, defined as the extent to which patients take medications as prescribed. It outlines factors influencing non-adherence, including therapy duration, disease characteristics, and patient socioeconomic factors, as well as strategies to improve adherence through educational interventions and regular follow-ups. The importance of patient engagement and support in the treatment process is emphasized to enhance adherence outcomes.

Uploaded by

lalrem
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Chapter-6
Medication Adherence
Topic in this PDF:

Definition, factors influencing non adherence, strategies to overcome non-adherence

Definition:
 Medication adherence, or taking medications correctly, is generally defined as the extent to
which patients take medication as prescribed by their doctors.
 This involves factors such as getting prescriptions filled, remembering to take medication on
time, and understanding the directions."

Factors influencing non adherence


Various determinants such as

 Nature and duration of therapy,


 Disease characteristics,
 Medication side-effects,
 Cost of treatment,
 Characteristics of health service facilities,
 The relation between the physician and patient,

Patient characteristics such as

 Socioeconomic factors,
 Patient's perspective about the illness and therapy have been reported to influence adherence.

Strategies to overcome non-adherence


 The problem of medication non-adherence is often multifactorial, and there is no universal
formula that will resolve adherence issues for every patient in every situation.

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Educational and behavioral interventions


Rather than simply telling patients what their treatment plan is, it is valuable to take the time to explain
the decision-making process to patients, so that they feel a sense of ownership of their treatment. This
discussion could cover:

 The benefits and adverse effects of available therapies or medical devices


 A review of the alternatives to the treatment or device that is finally chosen
 The rationale for the selected treatment (improves symptoms, encourage weight gain, etc.)
 The need for prolonged treatment
 The expected effects (e.g., speed of onset) and side effects
 Any possible adjustments that might be needed during treatment.

Reviewing progress

 To help maintain patient perseverance, it is critical to schedule follow-up appointments after


initial advice and prescription.
 The timing of these follow-ups is important; the standard 12-week follow-up appointment may
be too late, as patients starting a new treatment plan benefit from check-ins within the first few
weeks.
 They can then report back on their experience, allowing HCPs to intervene as needed, and
advise on changes in dosage or treatment routine.
 This dialogue makes patients feel supported, and that their personal needs are being taken into
consideration.
 It may be more efficient to check in with patients through teleconsultations, as regular face-to-
face appointments can increase costs, as well as the burden on patients.
 Patients may also benefit from exchanging experiences with others in a similar position, through
community and patient groups.

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