Medication adherence

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Medication adherence refers to the degree to which a patient correctly follows medical advice. Most commonly, it refers to medication or drug compliance, but it can also apply to other situations such as medical device use, self care, self-directed exercises, or therapy sessions. Both the patient and the healthcare provider affect medication adherence. A high degree of non-adherence can lead to negative outcomes, including increased hospitalizations and death.

Definition[edit | edit source]

Medication adherence is commonly defined as the degree to which patients take medications as prescribed by their healthcare providers. This can include timing, dosage, and frequency. A patient who is non-adherent may be underusing, overusing, or misusing medications. Non-adherence can include delaying or not filling a prescription, skipping doses, discontinuing medication early, or taking extra doses.

Factors affecting adherence[edit | edit source]

Several factors can affect medication adherence. These include:

  • Patient factors: These can include forgetfulness, lack of health literacy, lack of motivation, or physical impairments that make it difficult to take medication.
  • Healthcare provider factors: These can include the provider-patient relationship, communication style, and the complexity of the prescribed medication regimen.
  • Healthcare system factors: These can include access to medications, cost of medications, and the complexity of the healthcare system.

Consequences of non-adherence[edit | edit source]

Non-adherence can lead to a variety of negative outcomes. These can include:

  • Health outcomes: Non-adherence can lead to poor health outcomes, including increased hospitalizations and death.
  • Economic outcomes: Non-adherence can also lead to increased healthcare costs, both for the individual and for the healthcare system.

Strategies to improve adherence[edit | edit source]

Several strategies can be used to improve medication adherence. These can include:

  • Patient education: This can include teaching patients about their condition, the importance of adherence, and how to manage their medications.
  • Healthcare provider training: This can include training providers in communication skills and strategies to improve adherence.
  • Healthcare system changes: This can include reducing the cost of medications, simplifying the medication regimen, and improving access to care.

See also[edit | edit source]

Medication adherence Resources
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Contributors: Prab R. Tumpati, MD