Voluntary cooperation of the patient in taking drugs or medicine as prescribed. This includes timing, dosage, and frequency.
Voluntary cooperation of the patient in following a prescribed regimen.
Errors in prescribing, dispensing, or administering medication with the result that the patient fails to receive the correct drug or the indicated proper drug dosage.
Drugs used in the treatment of acute or chronic vascular HYPERTENSION regardless of pharmacological mechanism. Among the antihypertensive agents are DIURETICS; (especially DIURETICS, THIAZIDE); ADRENERGIC BETA-ANTAGONISTS; ADRENERGIC ALPHA-ANTAGONISTS; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; CALCIUM CHANNEL BLOCKERS; GANGLIONIC BLOCKERS; and VASODILATOR AGENTS.
Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.
The process of observing, recording, or detecting the effects of a chemical substance administered to an individual therapeutically or diagnostically.
Overall systems, traditional or automated, to provide medication to patients.
Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS).
Systems used to prompt or aid the memory. The systems can be computerized reminders, color coding, telephone calls, or devices such as letters and postcards.
Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.
The teaching or training of patients concerning their own health needs.
Agents used to treat AIDS and/or stop the spread of the HIV infection. These do not include drugs used to treat symptoms or opportunistic infections associated with AIDS.
Patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.)
Containers, packaging, and packaging materials for drugs and BIOLOGICAL PRODUCTS. These include those in ampule, capsule, tablet, solution or other forms. Packaging includes immediate-containers, secondary-containers, and cartons. In the United States, such packaging is controlled under the Federal Food, Drug, and Cosmetic Act which also stipulates requirements for tamper-resistance and child-resistance. Similar laws govern use elsewhere. (From Code of Federal Regulations, 21 CFR 1 Section 210, 1993) DRUG LABELING is also available.
Directions written for the obtaining and use of DRUGS.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
The use of multiple drugs administered to the same patient, most commonly seen in elderly patients. It includes also the administration of excessive medication. Since in the United States most drugs are dispensed as single-agent formulations, polypharmacy, though using many drugs administered to the same patient, must be differentiated from DRUG COMBINATIONS, single preparations containing two or more drugs as a fixed dose, and from DRUG THERAPY, COMBINATION, two or more drugs administered separately for a combined effect. (From Segen, Dictionary of Modern Medicine, 1992)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Total pharmaceutical services provided by qualified PHARMACISTS. In addition to the preparation and distribution of medical products, they may include consultative services provided to agencies and institutions which do not have a qualified pharmacist.
Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).
The research and development of ELECTRICAL EQUIPMENT AND SUPPLIES for such medical applications as diagnosis, therapy, research, anesthesia control, cardiac control, and surgery. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Drugs that cannot be sold legally without a prescription.
Those persons legally qualified by education and training to engage in the practice of pharmacy.
Agents used to treat RETROVIRIDAE INFECTIONS.
The formal process of obtaining a complete and accurate list of each patient's current home medications including name, dosage, frequency, and route of administration, and comparing admission, transfer, and/or discharge medication orders to that list. The reconciliation is done to avoid medication errors.
Drugs that are used to treat asthma.
Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Information systems, usually computer-assisted, designed to store, manipulate, and retrieve information for planning, organizing, directing, and controlling administrative activities associated with the provision and utilization of clinical pharmacy services.
Physicochemical property of fimbriated (FIMBRIAE, BACTERIAL) and non-fimbriated bacteria of attaching to cells, tissue, and nonbiological surfaces. It is a factor in bacterial colonization and pathogenicity.
Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.
Overall systems, traditional or automated, to provide medication to patients in hospitals. Elements of the system are: handling the physician's order, transcription of the order by nurse and/or pharmacist, filling the medication order, transfer to the nursing unit, and administration to the patient.
Total pharmaceutical services provided to the public through community pharmacies.
Cognitive mechanism based on expectations or beliefs about one's ability to perform actions necessary to produce a given effect. It is also a theoretical component of behavior change in various therapeutic treatments. (APA, Thesaurus of Psychological Index Terms, 1994)
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Agents that control agitated psychotic behavior, alleviate acute psychotic states, reduce psychotic symptoms, and exert a quieting effect. They are used in SCHIZOPHRENIA; senile dementia; transient psychosis following surgery; or MYOCARDIAL INFARCTION; etc. These drugs are often referred to as neuroleptics alluding to the tendency to produce neurological side effects, but not all antipsychotics are likely to produce such effects. Many of these drugs may also be effective against nausea, emesis, and pruritus.
The practice of nursing in the work environment.
Administration of a drug or chemical by the individual under the direction of a physician. It includes administration clinically or experimentally, by human or animal.
The use of DRUGS to treat a DISEASE or its symptoms. One example is the use of ANTINEOPLASTIC AGENTS to treat CANCER.
Substances which lower blood glucose levels.
Assistance in managing and monitoring drug therapy for patients receiving treatment for cancer or chronic conditions such as asthma and diabetes, consulting with patients and their families on the proper use of medication; conducting wellness and disease prevention programs to improve public health; overseeing medication use in a variety of settings.
The charge levied on the consumer for drugs or therapy prescribed under written order of a physician or other health professional.
Drug regimens, for patients with HIV INFECTIONS, that aggressively suppress HIV replication. The regimens usually involve administration of three or more different drugs including a protease inhibitor.
Method for obtaining information through verbal responses, written or oral, from subjects.
Facilities for the preparation and dispensing of drugs.
Research carried out by nurses concerning techniques and methods to implement projects and to document information, including methods of interviewing patients, collecting data, and forming inferences. The concept includes exploration of methodological issues such as human subjectivity and human experience.
The interactions between physician and patient.
Assistance, such as money, food, or shelter, given to the needy, aged, or victims of disaster. It is usually granted on a temporary basis. (From The American Heritage Dictionary, 2d college ed)
Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.
Insurance providing for payment of services rendered by the pharmacist. Services include the preparation and distribution of medical products.
The study, control, and application of the conduction of ELECTRICITY through gases or vacuum, or through semiconducting or conducting materials. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.
Those factors which cause an organism to behave or act in either a goal-seeking or satisfying manner. They may be influenced by physiological drives or by external stimuli.
A stand-alone drug plan offered by insurers and other private companies to beneficiaries that receive their Medicare Part A and/or B benefits through the Original Medicare Plan. It includes Medicare Private Fee-for-Service Plans that do not offer prescription drug coverage and Medicare Cost Plans offering Medicare prescription drug coverage. The plan was enacted as the Medicare Prescription Drug, Improvement and Modernization Act of 2003 with coverage beginning January 1, 2006.
Mood-stimulating drugs used primarily in the treatment of affective disorders and related conditions. Several MONOAMINE OXIDASE INHIBITORS are useful as antidepressants apparently as a long-term consequence of their modulation of catecholamine levels. The tricyclic compounds useful as antidepressive agents (ANTIDEPRESSIVE AGENTS, TRICYCLIC) also appear to act through brain catecholamine systems. A third group (ANTIDEPRESSIVE AGENTS, SECOND-GENERATION) is a diverse group of drugs including some that act specifically on serotonergic systems.
An instrument for reproducing sounds especially articulate speech at a distance. (Webster, 3rd ed)
Analog or digital communications device in which the user has a wireless connection from a telephone to a nearby transmitter. It is termed cellular because the service area is divided into multiple "cells." As the user moves from one cell area to another, the call is transferred to the local transmitter.
Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)
The geographic area of the southeastern region of the United States in general or when the specific state or states are not included. The states usually included in this region are Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, North Carolina, South Carolina, West Virginia, and Virginia.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Public attitudes toward health, disease, and the medical care system.
Persons living in the United States having origins in any of the black groups of Africa.
Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.
Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)
Drugs intended for human or veterinary use, presented in their finished dosage form. Included here are materials used in the preparation and/or formulation of the finished dosage form.
Substances interfering with the metabolism of ethyl alcohol, causing unpleasant side effects thought to discourage the drinking of alcoholic beverages. Alcohol deterrents are used in the treatment of alcoholism.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
Amounts charged to the patient or third-party payer for medication. It includes the pharmacist's professional fee and cost of ingredients, containers, etc.
The amount that a health care institution or organization pays for its drugs. It is one component of the final price that is charged to the consumer (FEES, PHARMACEUTICAL or PRESCRIPTION FEES).
A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY.
A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL).
Delivery of health services via remote telecommunications. This includes interactive consultative and diagnostic services.
Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Computer programs or software installed on mobile electronic devices which support a wide range of functions and uses which include television, telephone, video, music, word processing, and Internet service.
Persons who receive ambulatory care at an outpatient department or clinic without room and board being provided.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
Recording of information on magnetic or punched paper tape.
Interactions between health personnel and patients.
Disorders that result from the intended use of PHARMACEUTICAL PREPARATIONS. Included in this heading are a broad variety of chemically-induced adverse conditions due to toxicity, DRUG INTERACTIONS, and metabolic effects of pharmaceuticals.
The self administration of medication not prescribed by a physician or in a manner not directed by a physician.
Drugs whose drug name is not protected by a trademark. They may be manufactured by several companies.
Development of neutralizing antibodies in individuals who have been exposed to the human immunodeficiency virus (HIV/HTLV-III/LAV).
A treatment method in which patients are under direct observation when they take their medication or receive their treatment. This method is designed to reduce the risk of treatment interruption and to ensure patient compliance.
The quantity of measurable virus in a body fluid. Change in viral load, measured in plasma, is sometimes used as a SURROGATE MARKER in disease progression.
Refusal to admit the truth or reality of a situation or experience.
Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.
The interdisciplinary field concerned with the development and integration of behavioral and biomedical science, knowledge, and techniques relevant to health and illness and the application of this knowledge and these techniques to prevention, diagnosis, treatment, and rehabilitation.
Elements of limited time intervals, contributing to particular results or situations.
A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
The application of modern theories of learning and conditioning in the treatment of behavior disorders.
Compounds that inhibit HMG-CoA reductases. They have been shown to directly lower cholesterol synthesis.
Precise and detailed plans for the study of a medical or biomedical problem and/or plans for a regimen of therapy.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Component of the NATIONAL INSTITUTES OF HEALTH. It conducts research focused on improving the treatment and prevention of alcoholism and alcohol-related problems to reduce the health, social, and economic consequences of this disease. NIAAA, NIMH, and NIDA were created as coequal institutes within the Alcohol, Drug Abuse and Mental Health Administration in 1974. It was established within the NATIONAL INSTITUTES OF HEALTH in 1992.
The prevention of recurrences or exacerbations of a disease or complications of its therapy.
Disorders related to substance abuse.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
A property of the surface of an object that makes it stick to another surface.
A cabinet department in the Executive Branch of the United States Government concerned with overall planning, promoting, and administering programs pertaining to VETERANS. It was established March 15, 1989 as a Cabinet-level position.
Social and economic factors that characterize the individual or group within the social structure.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
Communication between CELL PHONE users via the Short Message Service protocol which allows the interchange of short written messages.
Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
A loosely defined grouping of drugs that have effects on psychological function. Here the psychotropic agents include the antidepressive agents, hallucinogens, and tranquilizing agents (including the antipsychotics and anti-anxiety agents).
Pharmacy services accessed via electronic means.
Counseling during which a professional plays an active role in a client's or patient's decision making by offering advice, guidance, and/or recommendations.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
Minor hemoglobin components of human erythrocytes designated A1a, A1b, and A1c. Hemoglobin A1c is most important since its sugar moiety is glucose covalently bound to the terminal amino acid of the beta chain. Since normal glycohemoglobin concentrations exclude marked blood glucose fluctuations over the preceding three to four weeks, the concentration of glycosylated hemoglobin A is a more reliable index of the blood sugar average over a long period of time.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
A nursing specialty created to answer the need for developing a global perspective in the practice of nursing in a world of interdependent nations and people. The focus of this nursing discipline is on the integration of international and transcultural content into the training. Courses include study in the area of cultural differences, nursing in other countries, and international health issues and organizations, as an example.
A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, HALLUCINATIONS, emotional disharmony, and regressive behavior.
Epidemiologic investigations designed to test a hypothesized cause-effect relation by modifying the supposed causal factor(s) in the study population.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.
A state of harmony between internal needs and external demands and the processes used in achieving this condition. (From APA Thesaurus of Psychological Index Terms, 8th ed)
Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.
Standardized procedures utilizing rating scales or interview schedules carried out by health personnel for evaluating the degree of mental illness.
The giving of drugs, chemicals, or other substances by mouth.
Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
A perceived attribute that is deeply discrediting and is considered to be a violation of social norms.
A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.
An anti-inflammatory agent, structurally related to the SALICYLATES, which is active in INFLAMMATORY BOWEL DISEASE. It is considered to be the active moiety of SULPHASALAZINE. (From Martindale, The Extra Pharmacopoeia, 30th ed)
Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.
The utilization of drugs as reported in individual hospital studies, FDA studies, marketing, or consumption, etc. This includes drug stockpiling, and patient drug profiles.
Assessment of psychological variables by the application of mathematical procedures.
Theoretical representations that simulate psychological processes and/or social processes. These include the use of mathematical equations, computers, and other electronic equipment.
Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.
Statistical models in which the value of a parameter for a given value of a factor is assumed to be equal to a + bx, where a and b are constants. The models predict a linear regression.
The science dealing with the study of mental processes and behavior in man and animals.
Former members of the armed services.
The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups.
People who take drugs for a non-therapeutic or non-medical effect. The drugs may be legal or illegal, but their use often results in adverse medical, legal, or social consequences for the users.
Adherence of cells to surfaces or to other cells.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.
Study of mental processes and behavior of schizophrenics.
The giving of advice and assistance to individuals with educational or personal problems.
A willingness to reveal information about oneself to others.
Medicines that can be sold legally without a DRUG PRESCRIPTION.
A class of drugs whose main indications are the treatment of hypertension and heart failure. They exert their hemodynamic effect mainly by inhibiting the renin-angiotensin system. They also modulate sympathetic nervous system activity and increase prostaglandin synthesis. They cause mainly vasodilation and mild natriuresis without affecting heart rate and contractility.
A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.
A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.
A range of values for a variable of interest, e.g., a rate, constructed so that this range has a specified probability of including the true value of the variable.
The administration of drugs by the respiratory route. It includes insufflation into the respiratory tract.
Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.
Individuals whose ancestral origins are in the continent of Europe.
Groups of individuals whose putative ancestry is from native continental populations based on similarities in physical appearance.
Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.
A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
Patient involvement in the decision-making process in matters pertaining to health.
The exertion of a strong influence or control over others in a variety of settings--administrative, social, academic, etc.
Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.
Educational attainment or level of education of individuals.
Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.
Test for cell-mediated antitumor immunity and related serum blocking factors based on the finding that leukocytes from cancer patients, but not from controls, when mixed in vitro with antigenic extracts of tumors of the same histological type, undergo a diminution in their normal adherence to glass surfaces. Sera from tumor-bearing patients block the LAI reaction of their own leukocytes or those of other patients with the same type of tumor.
Chronic, non-specific inflammation of the GASTROINTESTINAL TRACT. Etiology may be genetic or environmental. This term includes CROHN DISEASE and ULCERATIVE COLITIS.
An oversimplified perception or conception especially of persons, social groups, etc.
A republic in eastern Africa, south of UGANDA, east of DEMOCRATIC REPUBLIC OF THE CONGO, west of TANZANIA. Its capital is Kigali. It was formerly part of the Belgian trust territory of Ruanda-Urund.
Disturbances in mental processes related to learning, thinking, reasoning, and judgment.
Therapy with two or more separate preparations given for a combined effect.
Design of patient care wherein institutional resources and personnel are organized around patients rather than around specialized departments. (From Hospitals 1993 Feb 5;67(3):14)
An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent.
Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.
Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.
An ocular disease, occurring in many forms, having as its primary characteristics an unstable or a sustained increase in the intraocular pressure which the eye cannot withstand without damage to its structure or impairment of its function. The consequences of the increased pressure may be manifested in a variety of symptoms, depending upon type and severity, such as excavation of the optic disk, hardness of the eyeball, corneal anesthesia, reduced visual acuity, seeing of colored halos around lights, disturbed dark adaptation, visual field defects, and headaches. (Dictionary of Visual Science, 4th ed)
Hospitals providing medical care to veterans of wars.
Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.
Substances that lower the levels of certain LIPIDS in the BLOOD. They are used to treat HYPERLIPIDEMIAS.
A method for the detection of very small quantities of antibody in which the antigen-antibody-complement complex adheres to indicator cells, usually primate erythrocytes or nonprimate blood platelets. The reaction is dependent on the number of bound C3 molecules on the C3b receptor sites of the indicator cell.
Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
Tests designed to assess neurological function associated with certain behaviors. They are used in diagnosing brain dysfunction or damage and central nervous system disorders or injury.
A direct form of psychotherapy based on the interpretation of situations (cognitive structure of experiences) that determine how an individual feels and behaves. It is based on the premise that cognition, the process of acquiring knowledge and forming beliefs, is a primary determinant of mood and behavior. The therapy uses behavioral and verbal techniques to identify and correct negative thinking that is at the root of the aberrant behavior.
Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
Adjunctive computer programs in providing drug treatment to patients.
A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Self evaluation of whole blood glucose levels outside the clinical laboratory. A digital or battery-operated reflectance meter may be used. It has wide application in controlling unstable insulin-dependent diabetes.
A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
Drugs that bind to but do not activate beta-adrenergic receptors thereby blocking the actions of beta-adrenergic agonists. Adrenergic beta-antagonists are used for treatment of hypertension, cardiac arrhythmias, angina pectoris, glaucoma, migraine headaches, and anxiety.
An acquired defect of cellular immunity associated with infection by the human immunodeficiency virus (HIV), a CD4-positive T-lymphocyte count under 200 cells/microliter or less than 14% of total lymphocytes, and increased susceptibility to opportunistic infections and malignant neoplasms. Clinical manifestations also include emaciation (wasting) and dementia. These elements reflect criteria for AIDS as defined by the CDC in 1993.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.

Interferon alpha therapy for hepatitis C: treatment completion and response rates among patients with substance use disorders. (1/2129)

BACKGROUND: Individuals with substance use disorders (SUDs) are at increased risk for hepatitis C viral infection (HCV), and few studies have explored their treatment responses empirically. The objective of this study was to assess interferon alpha therapy (IFN) completion and response rates among patients with HCV who had a history of comorbid SUDs. More data is needed to inform treatment strategies and guidelines for these patients. Using a medical record database, information was retrospectively collected on 307,437 veterans seen in the Veterans Integrated Service Network 20 (VISN 20) of the Veterans Healthcare Administration (VHA) between 1998 and 2003. For patients treated with any type of IFN (including regular or pegylated IFN) or combination therapy (IFN and ribavirin) who had a known HCV genotype, IFN completion and response rates were compared among patients with a history of SUD (SUD+ Group) and patients without a history of SUD (SUD- Group). RESULTS: Odds ratio analyses revealed that compared with the SUD- Group, the SUD+ Group was equally likely to complete IFN therapy if they had genotypes 2 and 3 (73.1% vs. 68.0%), and if they had genotypes 1 and 4 (39.5% vs. 39.9%). Within the sample of all patients who began IFN therapy, the SUD- and SUD+ groups were similarly likely to achieve an end of treatment response (genotypes 2 and 3, 52.8% vs. 54.3%; genotypes 1 and 4, 24.5% vs. 24.8%) and a sustained viral response (genotypes 2 and 3, 42.6% vs. 41.1%; genotypes 1 and 4: 16.0% vs. 22.3%). CONCLUSION: Individuals with and without a history of SUD responded to antiviral therapy for HCV at similar rates. Collectively, these findings suggest that patients who have co-morbid SUD and HCV diagnoses can successfully complete a course of antiviral therapy.  (+info)

Factors associated with adherence to anti-hypertensive treatment in Pakistan. (2/2129)

OBJECTIVES: Poor adherence is one of the biggest obstacles in therapeutic control of high blood pressure. The objectives of this study were (i) to measure adherence to antihypertensive therapy in a representative sample of the hypertensive Pakistani population and (ii) to investigate the factors associated with adherence in the studied population. METHODS AND RESULTS: A cross-sectional study was conducted on a simple random sample of 460 patients at the Aga Khan University Hospital (AKUH) and National Institute of Cardiovascular Diseases, Karachi, from September 2005-May 2006. Adherence was assessed using the Morisky Medication Adherence Scale (MMAS), with scores ranging from 0 (non-adherent) to 4 (adherent). In addition to MMAS, patient self-reports about the number of pills taken over a prescribed period were used to estimate adherence as a percentage. AKU Anxiety and Depression Scale (AKU-ADS) was incorporated to find any association between depression and adherence. At a cut-off value of 80%, 77% of the cases were adherent. Upon univariate analyses, increasing age, better awareness and increasing number of pills prescribed significantly improved adherence, while depression showed no association. Significant associations, upon multivariate analyses, included number of drugs that a patient was taking (P<0.02) and whether he/she was taking medication regularly or only for symptomatic relief (P<0.00001). CONCLUSIONS: Similar to what has been reported worldwide, younger age, poor awareness, and symptomatic treatment adversely affected adherence to antihypertensive medication in our population. In contrast, monotherapy reduced adherence, whereas psychosocial factors such as depression showed no association. These findings may be used to identify the subset of population at risk of low adherence who should be targeted for interventions to achieve better blood pressure control and hence prevent complications.  (+info)

Patient and regimen characteristics associated with self-reported nonadherence to antiretroviral therapy. (3/2129)

BACKGROUND: Nonadherence to antiretroviral therapy (ARVT) is an important behavioral determinant of the success of ARVT. Nonadherence may lead to virological failure, and increases the risk of development of drug resistance. Understanding the prevalence of nonadherence and associated factors is important to inform secondary HIV prevention efforts. METHODOLOGY/PRINCIPAL FINDINGS: We used data from a cross-sectional interview study of persons with HIV conducted in 18 U.S. states from 2000-2004. We calculated the proportion of nonadherent respondents (took <95% of prescribed doses in the past 48 hours), and the proportion of doses missed. We used multivariate logistic regression to describe factors associated with nonadherence. Nine hundred and fifty-eight (16%) of 5,887 respondents reported nonadherence. Nonadherence was significantly (p<0.05) associated with black race and Hispanic ethnicity; age <40 years; alcohol or crack use in the prior 12 months; being prescribed >or=4 medications; living in a shelter or on the street; and feeling "blue" >or=14 of the past 30 days. We found weaker associations with having both male-male sex and injection drug use risks for HIV acquisition; being prescribed ARVT for >or=21 months; and being prescribed a protease inhibitor (PI)-based regimen not boosted with ritonavir. The median proportion of doses missed was 50%. The most common reasons for missing doses were forgetting and side effects. CONCLUSIONS/SIGNIFICANCE: Self-reported recent nonadherence was high in our study. Our data support increased emphasis on adherence in clinical settings, and additional research on how providers and patients can overcome barriers to adherence.  (+info)

The information-motivation-behavioral skills model of ART adherence in a Deep South HIV+ clinic sample. (4/2129)

High levels of adherence to antiretroviral therapy (ART) are critical to the management of HIV, yet many people living with HIV do not achieve these levels. There is a substantial body of literature regarding correlates of adherence to ART, and theory-based multivariate models of ART adherence are emerging. The current study assessed the determinants of adherence behavior postulated by the Information-Motivation-Behavioral Skills model of ART adherence in a sample of 149 HIV-positive patients in Mississippi. Structural equation modeling indicated that ART-related information correlated with personal and social motivation, and the two sub-areas of motivation were not intercorrelated. In this Deep South sample, being better informed, socially supported, and perceiving fewer negative consequences of adherence were independently related to stronger behavioral skills for taking medications, which in turn associated with self-reported adherence. The IMB model of ART adherence appeared to well characterize the complexities of adherence for this sample.  (+info)

Adherence to antiretroviral medication regimens: a test of a psychosocial model. (5/2129)

OBJECTIVE: The primary aim of this study was to test a psychosocial model of medication adherence among people taking antiretroviral medications. This model was based primarily on social cognitive theory and included personal (self-efficacy, outcome expectancy, stigma, depression, and spirituality), social (social support, difficult life circumstances), and provider (patient satisfaction and decision-making) variables. DESIGN: The data for this analysis were obtained from the parent study, which was a randomized controlled trial (Get Busy Living) designed to evaluate an intervention to foster medication adherence. Factor analysis was used to develop the constructs for the model, and structural equation modeling was used to test the model. Only baseline data were used in this cross sectional analysis. METHODS: Participants were recruited from a HIV/AIDS clinic in Atlanta, GA. Prior to group assignment, participants were asked to complete a questionnaire that included assessment of the study variables. Results A total of 236 participants were included in the analysis. The mean age of the participants was 41 years; the majority were male, and most were African-American. In the final model, self-efficacy and depression demonstrated direct associations with adherence; whereas stigma, patient satisfaction, and social support were indirectly related to adherence through their association with either self-efficacy or depression. CONCLUSION: These findings provide evidence to reinforce the belief that medication-taking behaviors are affected by a complex set of interactions among psychosocial variables and provide direction for adherence interventions.  (+info)

Medication adherence and quality of life in pediatric inflammatory bowel disease. (6/2129)

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Perceptions, impact and management of asthma in South Africa: a patient questionnaire study. (7/2129)

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Effects of increased patient cost sharing on socioeconomic disparities in health care. (8/2129)

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This is the first study to assess the economic consequences of initial medication non-adherence and among the first to estimate the economic consequences of a medication non-adherence event in almost an entire population. Big data provide high representativeness, which increases the validity of the results.. Regarding limitations in the database registries, it was not possible to assess differences in hospital admissions and interventions between adherent and non-adherent patients. These costs have been shown to be higher in patients who display post-initiation medication non-adherence.6,7 Furthermore, it was not possible to evaluate the clinical impact of non-adherence and, as mentioned above, only the short-term impact of non-adherence to chronic medication could be evaluated. In the future, clinical indicators should be searched in the database for specific diseases and economic models constructed to evaluate the long-term consequences of initial medication non-adherence.. Another database ...
Show more ,Background Medication non-adherence is a major issue after transplant that can lead to misdiagnosis, rejection, poor health affecting quality of life, graft loss or death. Several estimations of adherence and related factors have previously been described but conclusions leave doubt as to the most accurate assessment method. Aim of the review To identify the factors most relevant to medication non-adherence in kidney transplant in current clinical practice. Method This systematic review is registered in the PROSPERO data base and follows the Prisma checklist. Articles in English in three databases from January 2009 to December 2014 were analysed. A synthesis was made to target adherence assessment methods, their prevalence and significance. Results Thirty-seven studies were analysed rates of non-adherence fluctuating from 1.6 to 96%. Assessment methods varied from one study to another, although self-reports were mainly used. It appears that youth (≤50 years old), male, low social ...
Purpose : To assess the feasibility of using automated text parsing to screen physician notes in the electronic health record (EHR) to identify glaucoma patients with poor medication compliance. Methods : For recruitment to a larger study assessing the impact of a glaucoma coaching program on medication adherence, we used an automated EHR pull to identify patients who received ophthalmic care at the University of Michigan, had a diagnosis of glaucoma, were ≥40 years old, and took ≥1 glaucoma medication. A manual chart review was performed to exclude those deceased, or with severe mental illness or cognitive impairment. A research associate called patients and, if interested, assessed their medication adherence with two validated instruments, the Chang Scale and the Morisky Medication Adherence Scale. In tandem, we used the Electronic Medical Record Search Engine (EMERSE), a text parsing tool that abstracts data from the text section of the EHR to search for the terms noncompliant and ...
Of the many factors that contribute to poor medication adherence among the chronically ill, the portion of drug costs borne by patients appears to be central. Pitney Bowes is one of a handful of large employers and insurers that have begun experimenting with reduced copays for essential medications. In 2007, the company reduced or eliminated cost-sharing for medications used to treat coronary artery disease and osteoporosis, with the goal of improving employees medication adherence and health outcomes. This project will examine Pitney Bowes claims data to determine the impact that reduced copayments have had on medication adherence, clinical outcomes, health care utilization, and costs. The findings will aid employers, private insurers, the Medicare program, and policymakers in crafting changes to the structure of health benefits that lead to increased use of prescription drugs known to be effective for managing chronic disease.. ...
Background: Parsimonious self-report tools predicting pharmacy refill in patients with uncontrolled blood pressure could facilitate hypertension management in the elderly. We developed and evaluated a short self-report tool to predict low adherence via pharmacy refill in older patients with uncontrolled hypertension.. Methods: Cross-sectional analyses of survey and administrative data from the Cohort Study of Medication Adherence among Older Adults (CoSMO) were conducted on 394 adults with uncontrolled blood pressure. We considered 164 self-reported candidate items for development of a prediction rule for low (,0.8) vs. high (≥0.8) medication possession ratio (MPR) from pharmacy refill data. Risk prediction models were evaluated using best subsets analyses, and the final model was chosen based on clinical relevance and model parsimony. Bootstrap simulations assessed internal validation. The performance of the final model was compared to the 8-item Morisky Medication Adherence Scale (MMAS-8) ...
Abstract Medication Adherence in Adult Patients with Bipolar Disorder: An Integrative Literature Review Objective: To examine factors contributing to nonadherence in BD and methods for directly addressing these in an effect to offer providers information that can be used to assist clients. Methods: A review of the literature from 2012 to 2017 was conducted using a computerized search using Cumulative Index to Nursing and Health Literature (CINAHL) and PsycInfo. Results: Ten studies were identified as meeting the inclusion criteria. The resulting studies evenly discussed the reasons for medication non-adherence as well as treatment strategies aimed at improving adherence. Conclusion: The major findings of this study are two-fold, with one aspect determining effective strategies aimed at improving medication non-adherence in BD patients, while the other determines the reasons behind medication non-adherence. A significant portion of the research attributed non-adherence to substance abuse. Another
TY - JOUR. T1 - Validity and reliability of a self-reported measure of medication adherence in patients with Type2 diabetes mellitus in Singapore. AU - Wang, Y.. AU - Lee, J.. AU - Toh, M. P H S. AU - Tang, W. E.. AU - Ko, Y.. PY - 2012/9. Y1 - 2012/9. N2 - Aims A reliable and valid measure is essential for the assessment of medication adherence. Until now, no patient-reported medication adherence measure has been validated in Singapore. The aim of this study was to validate a modified 4-item Morisky-Green-Levine Medication Adherence Scale in patients with Type2 diabetes in Singapore. Methods A cross-sectional survey was conducted in a sample of outpatients with Type2 diabetes in Singapore from September to December in 2009. Respondents completed either an English or Chinese version of the modified 4-item Morisky-Green-Levine Medication Adherence Scale. The scale scores ranged from 0 to 4, with higher scores indicating better medication adherence. Reliability was assessed using Cronbachs alpha. ...
OBJECTIVE: The objective of this study was to investigate the effect of a multidisciplinary program on anxiety, depression, medication adherence, and quality of life in patients with epilepsy in eastern China.. METHODS: A cohort of 184 patients with epilepsy from the epilepsy clinic of a tertiary hospital in eastern China completed this program, out of which 92 were randomized into the intervention group and 92 the control group. Patients in both groups received standard antiepileptic drugs (AEDs), while those of the intervention group received an additional 12-month multidisciplinary program developed by a group of the epileptologist, pharmacist, psychiatrist, and epilepsy specialist nurse. Patients were assessed both before and after the 12-month period. The Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), and the eight-item Morisky Medication Adherence Scale (MMAS-8) were used to assess the severity of depression, anxiety, and medication adherence, respectively, along with ...
This study is testing a theory-based HIV treatment adherence intervention delivered by cell phone to patients in urban and rural areas. Adherence to antiretroviral (ART) medications is necessary to achieve HIV suppression and non-adherence can lead to treatment resistant genetic variants of HIV. People living with HIV/AIDS often experience difficulty sustaining high-levels of treatment adherence. Most factors that interfere with adherence are unanticipated and occur between clinical visits, including depression, side effects, substance use, and lapses in pharmacy refill. We will conduct a randomized clinical trial to test a cell phone-delivered theory-based medication adherence counseling intervention. The intervention is grounded in Self-Regulation Model and utilizes unannounced pill counts to monitor adherence and guide corrective feedback within the counseling context. Using pill count adherence information for counseling allows providers to detect and correct patient non-adherence within a ...
This study is testing a theory-based HIV treatment adherence intervention delivered by cell phone to patients in urban and rural areas. Adherence to antiretroviral (ART) medications is necessary to achieve HIV suppression and non-adherence can lead to treatment resistant genetic variants of HIV. People living with HIV/AIDS often experience difficulty sustaining high-levels of treatment adherence. Most factors that interfere with adherence are unanticipated and occur between clinical visits, including depression, side effects, substance use, and lapses in pharmacy refill. We will conduct a randomized clinical trial to test a cell phone-delivered theory-based medication adherence counseling intervention. The intervention is grounded in Self-Regulation Model and utilizes unannounced pill counts to monitor adherence and guide corrective feedback within the counseling context. Using pill count adherence information for counseling allows providers to detect and correct patient non-adherence within a ...
TY - JOUR. T1 - The Effect of Partner Serostatus and Relationship Duration on HIV Medication Adherence. AU - Mitzel, Luke D.. AU - Vanderdrift, Laura. AU - Ioerger, Michael. AU - Vanable, Peter A. PY - 2018/1/1. Y1 - 2018/1/1. N2 - High adherence rates to antiretroviral medications are necessary for people living with HIV/AIDS. The current study focuses on relationship-level predictors of HIV medication adherence by testing whether adherence rates differ by dyadic serostatus (seroconcordant vs. serodiscordant couples) among individuals with HIV in romantic relationships. Results showed a significant interaction between dyadic serostatus and relationship duration on adherence, such that individuals in long-term serodiscordant relationships reported better adherence than short-term serodiscordant relationships or seroconcordant partners in long-term relationships. Future research is needed to understand what relationship dynamics explain differences in adherence rates based on dyadic ...
Objective: To assess medication adherence among patients with chronic diseases.. Methods: This was a prospective observational study carried out over period of one year in mysuru city. The subjects who meet study criteria were enrolled in this research study. The enrolled subjects were administered with simplified medication adherence questionnaire. The criteria to establish adherent and non-adherent were calculated as per simplified medication adherence questionnaire directions.. Results: The gender distribution of this research study was reflected with male accountable for 45.63 % followed by female 54.36%. Asper simplified medication adherence questionnaire88% were adherent and remaining 12% were non-adherent in this research study.. Conclusion: Patients with good adherence in this research study showed that they have good literacy status as well as better awareness about the existing medical condition and more consciousness may be there among these patients, what will be going to happen if ...
Hypertension is a challenging public health problem with a huge burden in the developing countries. Non-adherence to antihypertensive treatment is a big obstacle in blood pressure (BP) control and favours disease progression to complications. Our objectives were to determine the rate of non-adherence to antihypertensive pharmacotherapy, investigate factors associated with non-adherence, and to assess the association between non-adherence and BP control in the Buea Health District (BHD), Cameroon. A community-based cross-sectional study using stratified cluster sampling was conducted in the BHD from November 2013 - March 2014. Eligible consenting adult participants had their BP measured and classified using the Joint National Committee VII criteria. The Morisky medication adherence scale was used to assess adherence to BP lowering medication. Multivariable logistic regression models were used to predict non-adherence. One hundred and eighty-three participants were recruited with mean age of 55.9 years.
Background: Non-adherence to medications is a major concern among patients with type 2 diabetes mellitus (T2DM). Failure to achieve positive health-related outcomes could be associated with non-adherence. Medication non-adherence is considered a socio-behavioral problem, thus using a behavioral model such as the transtheoretical model (TTM) could improve it. Objective: The primary objectives of this study were: (1) to determine the TTMs Stages of Change (SOC) and medication adherence scores of patients with T2DM in a primary health care setting in Qatar; (2) to determine the relationship between these two variables; and (3) to determine whether SOC could predict medication adherence whilst controlling for confounding factors. The secondary objectives were to assess the relationship: (1) between SOC and glycated hemoglobin (HbA1c); and (2) between medication adherence and HbA1c in the same population. Method: The study was conducted in the non-communicable disease clinic. Non-Qatari patients ...
Although the medication adherence of patients with glaucoma differs between reports, depending on the study patients and the methods of measurement, it is known to be low because glaucoma typically has no clear symptoms until it develops enough to reach its last stages.1 Therefore, an increase in medication adherence is regarded as an important factor for the better management of glaucoma. In this multicentre study, we aimed to investigate which factors influence medication adherence among patients with glaucoma in South Korea.. According to our results, the medication adherence rate of the patients with glaucoma in South Korea was 90.6±17.8%, and patients with ,80% medication adherence (non-adherent patients) made up about 30% of the study population. Hence, medication adherence of patients with glaucoma in South Korea appears to be relatively good when compared with that in foreign countries as reported to be 15%-58%.5 And, it could be partially explained by the relatively good insurance ...
Factors affecting adherence/compliance among patients diagnosed with unipolar depression in a General Hospital in Kolkata. Dr Sohini Banerjee, Dr Sayanti Ghosh, Dr Raviprasad Verma. Background. Non-adherence with psychotropic medication is a common phenomenon globally. However, adherence to anti-depressant medication in subjects diagnosed as unipolar depression requires methodical study. Limited evidence in this regard is available from India. This study aimed to assess the correlation of non-adherence to prescribed treatment among patients suffering from unipolar depression.. Method. A cross-sectional study was conducted in the Psychiatric Out Patient department (OPD) of R G Kar Medical College and Hospital in Kolkata. The Morisky Medication Adherence Scale (MMAS) was used and a questionnaire was designed by the principal investigator and was administered to the patients to explore correlation of non-adherence.. Results. A total of 239 { 63 men (26.4%), 176 women (73.6%) } patients with ...
TY - JOUR. T1 - Antihypertensive medication adherence in cancer survivors and its affecting factors. T2 - Results of a Korean population-based study. AU - Shin, Dong Wook. AU - Park, Jong Hyock. AU - Park, Jae Hyun. AU - Park, Eun Cheol. AU - Kim, So Young. AU - Kim, Sung Gyeong. AU - Choi, Jin Young. PY - 2010/2. Y1 - 2010/2. N2 - Purpose: Cancer survivors have been reported to receive less care for other conditions than the general population; however, it is not clear whether patients behavior also contribute to this. The present study was performed to examine cancer survivors adherence to antihypertensive medication and factors associated with it, compared to the general population. Methods: We used pharmacy claims and enrollment data from the National Health Insurance, which covers 97% of the Korean population. In total, 2,455,193 subjects, including 12,636 (0.5%) cancer survivors, who were prescribed antihypertensive medications during the calendar year 2004 were identified. A cumulative ...
Antipsychotic medications are a cornerstone of treatment and recovery for people with schizophrenia. However, many people have difficulty adhering to prescribed treatments and the average rate of non-adherence for schizophrenia is 50%. Failure to take medication is the most important risk factor leading to relapse and can result in a fivefold increase in the rate of relapse. An Australian study of 81 service users looked into the factors behind medication omission, including the participants levels of insight into their condition and their experience and feelings of stigma as a consequence of their mental illness. Most participants had insight into their illness and were aware of the stigma attached to it. Around 70% of them had experienced annoying side effects while nearly half admitted alcohol consumption. About a fifth admitted they had missed taking medication in the previous week. A younger age, the perception of negative side effects and lack of access to a psychiatrist all made it less ...
Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as whether they continue to take a prescribed medication. Medication nonadherence is a growing concern to clinicians, healthcare systems, and other stakeholders (eg, payers) because of mounting evidence that it is prevalent and associated with adverse outcomes and higher costs of care. To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice. The goals of the present report are to address (1) different methods of measuring adherence, (2) the prevalence of medication nonadherence, (3) the association between nonadherence and outcomes, (4) the reasons for nonadherence, and finally, (5) interventions to improve medication adherence.. ...
Material and Methods. : SS was measured using a social support inventory previously validated in Chile. Self-Rated Health was assessed with a single non-comparative general question; adherence to medication was assessed using the four-item Morisky medication adherence scale. Blood glucose and blood pressure control were also assessed. A logistic regression was performed to estimate Prevalence Odds Ratio (POR) and Robust Poisson method to estimate the Prevalence Ratio (PR). ...
Objective: Nonadherence to prescribed antipsychotic medications places patients with schizophrenia at a greatly increased risk of illness exacerbation and rehospitalization. Identification of risk factors for nonadherence is an initial step toward designing effective interventions. This article reviews recent literature on the prevalence of and risk factors for medication nonadherence in patients with schizophrenia. Data Sources: We searched the MEDLINE/HealthSTAR and PsycINFO databases using combinations of the keywords risk factor(s), adherence, compliance, antipsychotic, neuroleptic, schizophrenia, and psychosis for articles published since 1980 that identified risk factors for medication nonadherence in schizophrenia patients. We included reports that (1) were published in English and (2) specifically examined risk factors for medication nonadherence. Thirty-nine articles met our selection criteria. Data Synthesis: Among the 10 reports that met a strict set of study inclusion criteria, we ...
The New York Times has described American's nonadherence to prescribed medications as an "out-of-control epidemic that costs more and affects more…
BACKGROUND/OBJECTIVE: The AIDS Clinical Trials Group (ACTG) Adherence Questionnaire is used extensively, but investigators frequently only use the first item of the questionnaire (4-day recall).. DESIGN/METHODS: A secondary analysis was conducted to (1) estimate the validity and reliability of each of the 5 scale items and (2) compare the approach commonly used to summarize adherence data collected with the instrument (average 4-day recall) with alternate approaches derived using principal component (PC) analysis and the full questionnaire. We hypothesized that an estimate of adherence taking all items of the questionnaire into account would provide a stronger measure of adherence.. RESULTS: Logistic regression analyses showed that the first PC identified (PC1) was significantly correlated with plasma HIV RNA outcome (P , 0.0001 for ACTG 370 data and P = 0.006 for ACTG 398 data) and correlated with plasma HIV RNA better than average 4-day recall. An adherence index formulated using weights of ...
Prescription refill online. Request a medication refill online for Walgreens, Walmart, CVS, Rite Aid and Costco prescription refills.
Despite increased awareness, poor adherence to treatments for chronic diseases remains a global problem. Adherence issues are common in patients taking antihypertensive therapy and associated with increased risks of coronary and cerebrovascular events. Whilst there has been a gradual trend towards improved control of hypertension, the number of patients with blood pressure values above goal has remained constant. This has both personal and economic consequences. Medication adherence is a multifaceted issue and consists of three components: initiation, implementation and persistence. A combination of methods is recommended to measure adherence, with electronic monitoring and drug measurement being the most accurate. Pill burden, resulting from free combinations of blood pressure lowering treatments, makes the daily routine of medication taking complex, which can be a barrier to optimal adherence. Single-pill fixed-dose combinations simplify the habit of medication taking and improve medication adherence.
Background: Myocardial infarction (MI) is one of the leading causes of death. Along with lifestyle factors, poor medication adherence is one of the causes. This study was planned to find out the level of adherence in post-MI patients and its related factors. Objectives: Monitoring medication adherence in patients of MI attending cardiac outpatient department and to reveal causes of nonadherence to drug therapy in them. Methods: One hundred and one newly diagnosed MI patients were included in the study. Data collected were patient characteristics, habits, comorbidities, and drugs prescribed. Morisky 8 item scale was used to find out the medication adherence at the end of 1 st and 6 th month of cardiac event. Data were analyzed using McNemar test, Chi-square test, and logistic regression analysis. Results: Most common preventive cardiovascular drugs given were aspirin, clopidogrel, and statins, 98%, 88.1%, and 90%, respectively. Medication adherence at 6 th month post-MI was significantly ...
Osteoporosis is a chronic condition that is characterized by the disruption in the balance of bone metabolism. Loss of bone mass leaves bones more fragile and susceptible to fractures. There are effective medicines available to treat osteoporosis and strengthen bones. It has been established in clinical trials that treatment with these medicines has to last for at least three years for them to be effective. Unfortunately all patients do not take their medicines as instructed by their doctor. The rate to which patients follow instructions is referred to as medication adherence. Medication non-adherence is the number one reason why patients do not achieve the health benefits from medicines hoped for. With osteoporosis medicines it is regarded as sufficient when a patient takes at least 80% of the prescribed doses for the concentration of medicine in blood to be high enough and for the drug to be effective. The current thesis studied the utilization of drugs, adherence to osteoporosis medicines and ...
New in the 2011 Edition: This all-new follow-up to the best-selling 2010 edition contains comparative 2010-over-2011 data on key activities, as well as new data on the emerging role and responsibilities of the community pharmacist in medication adherence efforts. Medication adherence efforts figure prominently into many key initiatives rolled out from healthcare reform from care transition management, where insufficient education and errors can lead to non-adherence, to accountable care organizations and patient-centered medical homes, where provider reimbursement and rewards are closely tied to patient compliance, satisfaction, clinical outcomes and appropriate use of healthcare services. This 50-page resource provides all-new metrics and measures on current and planned medication adherence programs as well as program elements, lessons learned, challenges and benefits and early returns from successful medication adherence initiatives. This exclusive report analyzes the responses of 162 ...
New in the 2011 Edition: This all-new follow-up to the best-selling 2010 edition contains comparative 2010-over-2011 data on key activities, as well as new data on the emerging role and responsibilities of the community pharmacist in medication adherence efforts. Medication adherence efforts figure prominently into many key initiatives rolled out from healthcare reform from care transition management, where insufficient education and errors can lead to non-adherence, to accountable care organizations and patient-centered medical homes, where provider reimbursement and rewards are closely tied to patient compliance, satisfaction, clinical outcomes and appropriate use of healthcare services. This 50-page resource provides all-new metrics and measures on current and planned medication adherence programs as well as program elements, lessons learned, challenges and benefits and early returns from successful medication adherence initiatives. This exclusive report analyzes the responses of 162 ...
Having less long-term medication adherence is a challenge in the treating bipolar disorder, particularly through the maintenance phase when symptoms are less prominent. had been enrolled in the analysis. Out of this total, 266 had been effectively stabilized on LAI 345630-40-2 supplier aripiprazole and inserted the randomization stage. Treatment-emergent adverse occasions had been, generally, minor to moderate. Akathisia was the most frequent undesirable event, which, coupled with restlessness, was experienced by 23% from the sample. By the end from the 52-week research period, nearly doubly many LAI-treated individuals remained stable in comparison to those treated with placebo. Balance through the maintenance stage is arguably the main objective of treatment. It really is during this time period of comparative independence from symptoms that sufferers have the ability to build a significant and satisfying lifestyle. The option of a fresh treatment agent, especially one that gets the potential ...
People who are depressed are less likely to adhere to medications for their chronic health problems than patients who are not depressed, putting them at increased risk of poor health, according to a new RAND Corporation study.
Persistence rates were similar through the first 60 days of therapy. The mandatory mail cohort had a notable drop in persistence by day 90 (63.3% vs. 56.3%, p < 0.001), with a more pronounced drop among those without previous mail-service pharmacy use (50.5%). Median medication possession ratio (49.2% vs. 57.4%) and optimal adherence (33.6% vs. 36.1) were also lower. In the multivariable models, mandatory mail participants were less likely to achieve optimal adherence overall (odds ratio [OR], 0.70; 95% confidence interval [CI], 0.67-0.74) and in the metformin (OR, 0.55), sulfonylurea (OR, 0.72), ACE inhibitor (OR, 0.74), ARB (OR, 0.69), and statin (OR, 0.69) classes. Participants with no prior use of mail-service pharmacy had significantly lower odds of achieving optimal adherence in all therapeutic classes.. ...
TY - JOUR. T1 - A programme of symptom management for improving quality of life and drug adherence in AIDS/HIV patients. AU - Chiou, Piao Yi. AU - Kuo, Benjamin Ing Tiau. AU - Lee, Ming Been. AU - Chen, Yi Ming. AU - Chuang, Peing. AU - Lin, Li Chan. PY - 2006/7/1. Y1 - 2006/7/1. N2 - Aim. This paper reports an evaluation of the effect of symptom management programmed on drug adherence, CD4 count and virus load and the quality of life of patients with HIV/AIDS. Background. Patients with HIV/AIDS have to face the long-term side effects caused by highly active antiretroviral therapy regimens. There has been little research to evaluate the influence of drug intervention side effects on self-care. Methods. Sixty-seven patients with HIV/AIDS were randomly assigned to one-on-one teaching, group teaching, or control groups. All those in the one-on-one and group teaching groups attended a symptom management programme once a week, followed by 3 weeks of continuity and telephone counselling. Those in the ...
INTRODUCTION:Adherence-enhancing interventions have been assessed in the literature, however heterogeneity and conflicting findings have prohibited a consensus on the most effective approach to maintain adherence over time. With the ageing population and growth of chronic conditions, evaluation of sustainable strategies to improve and maintain medication adherence long term is paramount. We aimed to determine the comparative effectiveness of interventions for improving medication adherence over time among adults with any clinical condition. MATERIALS AND METHODS:Meta-analyses evaluating interventions to improve medication adherence were searched in PubMed in January 2019 and reviewed for primary studies. Experimental studies with a comparison group assessing an intervention to enhance medication adherence in adult patients with reported adherence outcomes were included. Two authors extracted data for study characteristics, interventions and adherence outcomes. Interventions were categorized into ...
Despite the availability of many new treatment options for type 2 diabetes, the proportion of patients achieving the HbA1c target , 7.0% remains around 50%. We put forward the hypothesis that the unchanged HbA1c results, observed in the last decade in type 2 diabetes patients, are also a consequence of medication nonadherence and clinical inertia. Poor medication-taking behavior is usually defined as medication nonadherence and is responsible for uncontrolled hemoglobin A1c level in 23% of cases. Medication nonadherence may also affect clinical outcomes, as diabetic patients with good adherence (≥80%) had a significant 10% lower rate of hospitalization events and a significant 28% lower rate of all-cause mortality when compared with patients with poor adherence (,80 ...
Methods We used data on late middle age individuals (51-64 years) from the longitudinal US-based Health and Retirement Study (N=19 281) to examine the relationship between negative wealth shock and short-term outcomes that serve as markers of the pathways from wealth shock to health: elevated depressive symptoms, as a marker of the stress pathway and cost-related medication non-adherence (CRN), as a marker of the consumption pathway. Negative wealth shock was considered to be a loss of total net worth of 75% or more. ...
Women from Islamic and African cultures who have vaginal yeast infections may prefer oral drugs to vaginally inserted medications. Latin Americans expect
There are large differences in non-recurring health care spending (which includes overnight hospital stays, outpatient surgery, home health care, nursing home stays, and other services) between older singles and older couples, and these differences increase with age. For those 85 and above, singles and couples on average spent $13,355 and $8,530, respectively, on these services during the two-year period of the study ...
TY - JOUR. T1 - Relationship between medication adherence and health beliefs among patients with hypertension in Oman. T2 - Pilot study. AU - Al-Noumani, Huda. AU - Wu, Jia Rong. AU - Barksdale, Debra. AU - Alkhasawneh, Esra. AU - Knafl, George. AU - Sherwood, Gwen. PY - 2017/8/1. Y1 - 2017/8/1. N2 - Objectives: The prevalence of hypertension (HTN) in Oman is alarmingly high and patient adherence to antihypertensive medications is inadequate. This study aimed to assess the relationship between medication adherence and health beliefs among Omani patients with HTN. Methods: This descriptive cross-sectional pilot study was conducted in December 2015 and included 45 patients with HTN recruited from four primary health centres in Al Dakhiliyah and Muscat governorates, Oman. Medication adherence and health beliefs were assessed using the Morisky Medication Adherence Scale (MMAS), Beliefs about Medicines Questionnaire, Brief Illness Perception Questionnaire and the revised Medication Adherence ...
The article emphasized the use of technological solutions to enhance medication adherence, and said that [medication nonadherence] undermines even the best cost-saving and clinical intentions of evidence-based care. These ideas are consistent with NACDS focus on expanding e-prescribing, fostering electronic health records and increasing access to and use of pharmacist-provided medication therapy management services, the pharmacy group said.. In response to the article, NACDS president and CEO Steve Anderson said, The National Association of Chain Drug Stores has pledged to own the issue of medication adherence. We made this pledge because we know that pharmacists have the education and skills to work with patients to increase medication adherence rates, improve patient health and reduce overall healthcare costs.. As previously reported by Drug Store News, an article published in the New England Journal of Medicine last month noted that more than $100 billion is spent each year on avoidable ...
Medication non-adherence has a significant impact on patients morbidity and mortality. Behavioral interventions have been developed to improve medication adherence. Adherence research requires an understanding about the best methodology to conduct studies especially when assessing interventions. Adherence studies include various designs such as: randomized controlled clinical trials, observational, and quasi-experimental studies. The Medication Adherence and Persistence Special Interest Group will develop good research practice recommendations for the conduct of medication adherence and treatment persistence research studies and will provide insight, through systematic reviews of the medication adherence literature, on interventions that improve medication adherence.. ...
Aim This study assessed the impact of illness perceptions, emotional responses to the disease and its management, and patient characteristics on the adherence to optimal insulin pump management in adolescents with type 1 diabetes mellitus. Methods From May to December 2013 and May 2015 to September 2016, we investigated 90 adolescents (50% boys), 12-18 years with type 1 diabetes. We analysed the association of optimal adherence to insulin pump therapy to age, gender, diabetes duration, results of questionnaires relating to fear and problems of self-testing, illness perceptions, emotional distress and family conflicts. Optimal adherence was defined as bolusing insulin on average ,= 2.5/3 main meals/d. Results Adolescents with suboptimal adherence were on average 1.8 years older (95% Confidence Interval 1.09-2.50 years, P ,.001) than those with optimal adherence. After adjustment for age, no other patient or parent factors were related to optimal adherence. Conclusion Adherence to insulin pump ...
South Africa has the highest HIV prevalence and supports the largest antiretroviral therapy (ART) programme globally. With the introduction of a test and treat policy, ensuring long term optimal adherence to ART (≥95%) is essential for successful patient and public health outcomes. The aim of this study was to assess long-term ART adherence to inform best practices for chronic HIV care. Long-term ART adherence was retrospectively analysed over a median duration of 5 years (interquartile range [IQR]: 5.3-6.5) in patients initially enrolled in a randomised controlled trial assessing tuberculosis and HIV treatment integration and subsequently followed post-trial in an observational cohort study in Durban, South Africa. The association between baseline patient characteristics and adherence over time was estimated using generalized estimating equations (GEE). Adherence was assessed using pharmacy pill counts conducted at each study visit and compared to 6 monthly viral load measurements. A Kaplan Meier
Conclusions Based on these results, action planning appears useful in increasing exercise adherence, especially when intentions are low and when coping planning is not present, since these acted as parameters for effectiveness. High intentions and confidence in plans seem beneficial for optimizing adherence and action planning appears to compensate a lack of intentions. Current study only measured adherence once and confidence in plans could not be measured in the control group, hence nothing could be concluded about behaviour maintenance or moderating effects of confidence in plans on action planning effectiveness. Future studies should focus on longer term effects and ways to increase intentions and confidence in plans. Similar studies into other behavioural change techniques are needed to expand our knowledge in their parameters for effectiveness.. Present study covers a relatively new area within rheumatology, namely improving exercise adherence behaviour, which might increase ...
Secondary analysis of electronically monitored medication adherence data for a cohort of hypertensive African-Americans George J Knafl1, Antoinette Schoenthaler2, Gbenga Ogedegbe21School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; 2Center for Healthful Behavior Change, New York University School of Medicine, New York, NY, USABackground: Electronic monitoring devices (EMDs) are regarded as the “gold standard” for assessing medication adherence in research. Although EMD data provide rich longitudinal information, they are typically not used to their maximum potential. Instead, EMD data are usually combined into summary measures, which lack sufficient detail for describing complex medication-taking patterns. This paper uses recently developed methods for analyzing EMD data that capitalize more fully on their richness.Methods: Recently developed adaptive statistical modeling methods were used to analyze EMD data collected with medication event monitoring system
In-center dialysis patients have multiple physicians involved in their care related to complications of end stage renal disease and the start of dialysis. This study reviewed the number of physicians involved in the participants (n=41) care and determined if it was associated with medication compliance and additionally assessed the in-center dialysis facility staffs ability to keep up-to-date home medication orders. Participant interviews, home medication reviews, and reconciliations were completed. The average number of medications ordered per participant was 11.58, and 37% of all medications ordered needed corrections made to the home medication orders. The average number of physicians per participant was 3.66, and 66% of participants reported noncompliance with some part of their medication regime. Results showed no correlation between the number of physicians involved in participants care and medication compliance. Participants with a higher number of medications had lower compliance.
Baseline medication adherence and response to an electronically delivered health literacy intervention targeting adherence Raymond L Ownby,1 Drenna Waldrop-Valverde,2 Joshua Caballero,3 Robin J Jacobs11Department of Psychiatry and Behavioral Medicine, Nova Southeastern University, Fort Lauderdale, FL, 2Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, 3Department of Pharmacy Practice, Nova Southeastern University, Fort Lauderdale, FL, USAAbstract: Medication adherence in persons treated for human immunodeficiency virus (HIV) continues to be an important focus for intervention. While high levels of adherence are required for good clinical outcomes, research shows many patients do not achieve these levels. Despite multiple interventions to improve adherence, most require multiple sessions delivered by trained clinicians. Cost and lack of trained personnel limit the availability of these interventions. Alternatives to clinician-delivered interventions are interventions provided via
INTRODUCTION: diabetes is a costly and increasingly common chronic disease.Effective management of diabetes to achieve glycemic control improves patient quality of life. Adherence rates to drug regimens in patients with type 2 diabetes are relatively low and vary widely between populations.There are many factors that could affect patient adherence to drug therapy.The aim of the present study was assessing patterns and obstacles to adherence of type 2 diabetic patients to their oral hypoglycemic drugs. METHODS: the present work is a descriptive cross section study, carried on type 2 diabetic patients who were on oral hypoglycemic drugs. Data concerning adherence to drugs was assessed using measure treatment adherence scale (MTA). RESULTS: a total of 372 (55.59 % males and 44.41% females) patients with type-2 diabetes fulfilled the inclusion criteria and included in the study. Among the participants, 26.1% were found to have good adherence, 47.9% had a fair adherence, and 26% had poor adherence.
In medication adherence-promotion trials, participants in the intervention arm are often cognizant of the researchers aim to improve adherence; this may lead to their inflating reports of their own adherence compared to control arm participants. Using data from 1,247 HIV-positive participants across eight U.S. Studies in the Multi-site Adherence Collaboration on HIV (MACH14) collaboration, we evaluated the validity of self-reported adherence by examining whether its association with two more objective outcomes [1], electronically monitored adherence and [2] viral load, varied by study arm. After adjusting for potential confounders, there was no evidence of greater overestimation of self-reported adherence among intervention arm participants, supporting its potential as a trial outcome indicator ...
WOONSOCKET, R.I., (June 27, 2013) - The U.S. health care system could avoid hundreds of millions of dollars in medical costs if medication adherence rates improved, according to the CVS Caremark (NYSE: CVS) 2013 State of the States: Adherence Report released today. Drawing on data from the 2012 CVS Caremark pharmacy benefit management (PBM) book of business, the State of the States report projects potential cost-savings within each state by examining medication adherence rates and the use of generic drugs across four common health conditions: diabetes, hypertension (high blood pressure), dyslipidemia (high cholesterol) and depression. The potential cost-savings among the states range from $19 million to $2.1 billion based on state member characteristics ...
Mobile medical applications (mHealth), music and video games are being developed and tested for their ability to improve pharmacotherapy outcomes and medication adherence. Pleiotropic mechanism of music and gamification engage an intrinsic motivation and the brain reward system, supporting therapies in patients with neurological disorders, including neuropathic pain, depression, anxiety, or neurodegenerative disorders. Based on accumulating results from clinical trials, an innovative combination treatment of epilepsy seizures, comorbidities and the medication non-adherence can be designed, consisting of antiepileptic drugs and disease self-management software delivering clinically beneficial music. Since creative elements and art expressed in games, music and software are copyrighted, therefore clinical and regulatory challenges in developing copyrighted, drug-device therapies may be offset by a value proposition of the exclusivity due to the patent-independent protection which can last for over 70
The Role of Medication Compliance in Improving Outcomes of Pharmaceutical Care ... Managing medication compliance = improved outcomes ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 24ef1-Y2VlO
The present article considered cardiovascular patients adherence to physicians medication recommendations. Nonadherence was defined as following the suggested medicine regiment 75 percent or less of the time. Study participants were 1,015 outpatients with coronary heart disease (CHD) who took part in the Heart and Soul Study. Participants were asked about adherence and had their medical records evaluated for cardiovascular events such as CHD death, myocardial infarction (MI) and stroke over a period of 3.9 years. Additionally, the risks related to nonadherence by patients with CHD were compared to risks related to diabetes, hypertension and smoking.. Key Findings:. ...
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Employers are then in a position to create clear goals and develop strategies to achieve them. A vendor summit is a vital step to make sure that all vendors are aligned with the strategy. Medication adherence can also be integrated into wellness programs with tactics such as health education; access to hotlines or coaching; disease management services; and links to community resources.. Berger shared case studies that showed a number of different approaches that have improved medication adherence, including disease management, a pharmacist-run risk reduction program; VBID; a combined VIBD and disease management program; mobile health technology, and a multi-pronged approach that combined nurse follow-up with reduced deductibles and co-pays for patients with chronic conditions.. Berger recommended using numerous strategies to reach employees. At the same time, the employer should continue to engage employees in improving their health in other ways.. The good news is that employers can get help ...
Methods A total of 87 postmenopausal women between 45 and 70 years old with osteoporosis, currently taking BSP (30 with alendronate 70 mg/week, 28 with risedronate 35 mg/week and 29 with ibandronate 150 mg/month). All patients were interviewed and examined for the gathering of information on perceptions of their osteoporosis medications, their reasons for adherence and non-adherence to therapy, and the effectiveness of strategies they had tried to improve adherence at baseline, month 6 and month 12.. Duration of therapy was measured by the count of days of therapy without of interruption of drug purchases greater than 2 weeks. Treatment compliance was evaluated with the Morisky Medication-taking Adherence Scale.. ...
TY - JOUR. T1 - Vaccine Development against the Renin-Angiotensin System for the Treatment of Hypertension. AU - Azegami, Tatsuhiko. AU - Itoh, Hiroshi. PY - 2019. Y1 - 2019. N2 - Hypertension is a global public health issue and the most important preventable cause of cardiovascular diseases. Despite the clinical availability of many antihypertensive drugs, many hypertensive patients have poor medication adherence and blood pressure control due, at least partially, to the asymptomatic and chronic characteristics of hypertension. Immunotherapeutic approaches have the potential to improve medication adherence in hypertension because they induce prolonged therapeutic effects and need a low frequency of administration. The first attempts to reduce blood pressure by using vaccines targeting the renin-angiotensin system were made more than half a century ago; however, at the time, a poor understanding of immunology and the mechanisms of hypertension and a lack of optimal vaccine technologies such as ...
Background. Low adherence rates to antihypertensive pharmacotherapy have been documented everywhere, especially among people of lower socioeconomic status such as Medicaid beneficiaries. Existing studies tend to focus on hypertensive patients who received mono-therapy or measure adherence at a fixed point in time, which may generate external validity issues or not be suitable for patients whose survival periods vary considerably. Purpose. To examine the relationship between patient adherence to antihypertensive medication and subsequent risk of cardiovascular events by using a new approach to measure adherence. Methods. A secondary data analysis of a mid-Atlantic Medicaid Managed Care Organization (MCO) data was conducted. We used Ordinary Least Squares (OLS) models and logistic regression models to examine predictors of patients adherence at one year post index date. We also used Coxs Proportional Hazard models and pooled logistic regressions to investigate the relationship between adherence ...
The pharmaceutical industry is divided on how to address the larger problem of patient adherence. Some companies believe that patient adherence will be at the core of their business model in the future and are transforming current practices to reflect this belief. Others believe that patient adherence is too difficult for the industry to solve on its own. Companies such as Merck and GlaxoSmithKline are betting on the adherence model: recently, both Merck and GSK reviewed their specific adherence issues, uncovered root causes, and are now establishing enhanced capabilities to improve overall patient adherence. In 2011, Merck set up a center of excellence to focus exclusively on adherence.1 In the same year, GSK created a Patient Engagement Group to define standard patient adherence approaches across chronic diseases within its portfolio2.. Despite efforts by a few players, the industry as a whole lags in addressing the adherence issue. A recent patient-adherence report, Vision & Reality3, found ...
A new study that reviews more than four decades of medical journal articles about the impact of HIT and electronic communications on medication adherence concludes that while there is evidence to suggest that simple electronic reminders are an effective and low-cost means to improve adherence, there are few studies that show how HIT can be leveraged to more thoughtfully engage or motivate patients to take medications as prescribed.. The study was published this week in the American Journal of Managed Care and is the result of a research partnership between Harvard University, Brigham and Womens Hospital and CVS Caremark - a three-year collaboration focused on developing a better understanding of patient behavior, particularly around medication adherence.. According to the researchers, the study findings highlight the disappointing state of evidence on a topic of substantial health importance. The researchers concluded that as the United States invests substantially in the broad ...
Antiretroviral therapy (ART) has been shown to reduce HIV-related morbidity and mortality amongst those living with HIV and reduce transmission of the virus to those who are yet to be infected. However, these outcomes depend on maximum ART adherence, and HIV programs around the world make efforts to ensure optimal adherence. Predictors of ART non-adherence vary considerably across populations and settings with respect to demographic, psychological, behavioral and economic factors. The objective of this study is to investigate risk factors that predict non-adherence to antiretroviral treatment among HIV-infected individuals in northern Tanzania.
Written prescriptions of physical activity have increased in popularity. Such schemes have mostly been evaluated in terms of efficacy in clinical trials. This study reports on a physical activity prescription referral scheme implemented in routine primary health care (PHC) in Sweden. The aim of this study was to evaluate patients self-reported adherence to physical activity prescriptions at 3 and 12 months and to analyse different characteristics associated with adherence to these prescriptions. Prospective prescription data were obtained for the general population in 37 of 42 PHC centres in Östergötland County, during 2004. The study population consisted of 3300. The average adherence rate to the prescribed activity was 56% at 3 months and 50% at 12 months. In the multiple logistic regression models, higher adherence was associated with higher activity level at baseline and with prescriptions including home-based activities. Prescription from ordinary PHC staff yielded adherence in half of the
TY - JOUR. T1 - Association of refill adherence and health care use among adults with hypertension in an urban health care system. AU - Stroupe, Kevin T.. AU - Teal, Evgenia Y.. AU - Tu, Wanzhu. AU - Weiner, Michael. AU - Murray, Michael D.. PY - 2006/6/1. Y1 - 2006/6/1. N2 - Study Objectives. To determine the rates of undersupply, appropriate supply, and oversupply of antihypertensive drugs, as measured by refill adherence, among patients with complicated and uncomplicated hypertension (i.e., patients who have and have not, respectively, experienced hypertension-related target organ damage), and to examine the association of refill adherence with hospitalization and health care costs among these patients. Design. Retrospective analysis of electronic medical records. Setting. An urban, public health care system. Patients. A total of 15,206 patients aged 18 years or older whose electronic medical records indicated a clinical diagnosis of hypertension based on the International Classification of ...
This clinical trial demonstrated the safety and efficacy of daily TDF/FTC, in conjunction with behavioral interventions, in reducing sexual HIV acquisition in a multinational population of MSM exposed to HIV through high-risk sex (4). A recent safety study of PrEP with TDF among 400 MSM in the United States also revealed few safety concerns (5). As a component of a comprehensive HIV prevention intervention, PrEP showed a significant added benefit, although effectiveness was highly dependent on medication adherence. The findings in this report are subject to at least five limitations. First, the trial was not large enough to evaluate efficacy in each of the sites, and the majority of the participants were in South America; only 10% were in the United States, making it impossible to determine effects on incidence in the United States trial sites specifically. Second, the assessment of adherence by drug-level testing was not performed for all trial participants and was performed for seroconverters ...
TY - JOUR. T1 - Development and validation of an immunosuppressant therapy adherence barrier instrument. AU - Chisholm, Marie A.. AU - Lance, Charles E.. AU - Williamson, Gail M.. AU - Mulloy, Laura L.. PY - 2005/1. Y1 - 2005/1. N2 - Background. To decrease allograft rejection as a result of non-adherence to immunosuppressant therapy (IST), a valid and reliable instrument that measures solid organ transplant patients adherence barriers is needed. Methods. An immunosuppressant therapy barrier scale (ITBS) was developed to assess transplant patients perceived barriers to IST adherence and was completed by 222 transplant patients who lived in Georgia, USA. A renal transplant population subset was used to test the ITBS reliability and validity. Scale reliability was estimated using Cronbachs alpha coefficient of internal consistency; scale dimensionality was assessed using principal components analysis. The criterion-related validity of the scale was assessed by relating subscale scores to ...
Oral antihyperglycemic therapies are effective methods to control glucose levels among patients with type 2 diabetes, thus lowering their risk of developing microvascular and macrovascular complications. However, the relationship between oral medication nonadherence and hospitalization is not well established for patients with diabetes. Using administrative claims data in an MCO, this study found that among adult enrollees taking oral antihyperglycemic medications, almost 30% had poor adherence in 2000 and 2001. A significant relationship was found between antihyperglycemic medication nonadherence and subsequent hospitalization, after controlling for age, sex, adherence to antihypertensive and lipid-modifying drugs, the intensity of the diabetes drug regimen, the Charlson comorbidity index, and previous hospitalization. Enrollees who were nonadherent in 2000 were 2.5 times as likely to be hospitalized in 2001 as those who were adherent in 2000.. The relationship between medication adherence and ...
Osterberg L, Blaschke T (2005). "Adherence to medication". The New England Journal of Medicine. 353 (5): 487-97. doi:10.1056/ ... People with mild to moderate pain can be treated with over-the-counter pain medications. Topical lotions containing calamine ... If shingles develops, antiviral medications such as aciclovir can reduce the severity and duration of disease if started within ... Occasionally, severe pain may require an opioid medication, such as morphine. Once the lesions have crusted over, capsaicin ...
"Weight-based dosing in medication use: what should we know?". Patient preference and adherence. 10: 549-560. doi:10.2147/PPA. ... Over-the-counter medications are typically accompanied by a set of instructions directing the patient to take a certain small ... Medication underdosing occurs commonly when physicians write prescriptions for a dosage that is correct for a certain time, but ... Some drugs or supplements have a slow-release feature in which portions of the medication are metabolized at different times, ...
Interventions for enhancing medication adherence. Cochrane Database of Systematic Reviews 2014, Issue 2 . Art. No.: CD000011. ... "Interventions for helping patients to follow prescriptions for medications (Review)". doi:10.1002/14651858.CD000011. Cite ... "Improvement of medication compliance in uncontrolled hypertension". Lancet. 1 (7972): 1265-8. doi:10.1016/s0140-6736(76)91737-2 ... Interventions for helping patients to follow prescriptions for medications. (Cochrane Review) In: The Cochrane Library, Issue 3 ...
"Collaboration may improve medication adherence". Retrieved 2013-11-20. "Not taking your medication, or taking waaay too much? ... They then will spread price the medication and charge the plan sponsor a much higher price for the medication than they will ... "Does Medication Waste Cost The U.S. $418 Billion?". Forbes. Retrieved 2013-11-20. Raksha Shetty (2004-08-04). "Drug Benefit ... Express Scripts is known to reimburse pharmacies below cost for medications and push patients to only use their mail order ...
"Assessing Medication Adherence in the Elderly. Which Tools to Use in Clinical Practice?". Drugs & Aging. 22 (3): 231-255. doi: ... A study unveiled that 33% of medication errors was induced by ambiguous labelling. This may lead to medication errors in drug ... Unknown medication history due to confusion amongst generic names, brand names and chemical names may place the security of ... Thousands of prescription medications were retreated as devoid of clinical evidence on effectiveness; and drug labels were ...
"Factors Affecting Adherence to Antihypertensive Medication". Korean Journal of Family Medicine. 39 (6): 325-332. doi:10.4082/ ... It is available as a generic medication. In 2018, it was the 42nd most commonly prescribed medication in the United States, ... Atenolol is a beta blocker medication primarily used to treat high blood pressure and heart-associated chest pain. Atenolol, ... It can also be used with other blood pressure medications. Common side effects include feeling tired, heart failure, dizziness ...
Gonzalez, J.S.; Safren, S.A.; Cagliero, E. (2007). "Depression, self-care, and medication adherence in type 2 diabetes". ... Jimmy, B; Jose, J (2011). "Patient medication adherence: Measures in daily practice". Oman Medical Journal. 26 (3): 155-159. ... and poor medication adherence. An individual with impaired cognitive or functional abilities such as memory also has a ... A lack of adherence to medical advice or the onset of a mental disorder make the practise of self-care difficult. Self-care is ...
"Gender and Cost-related Medication Non-adherence". Cancer Therapy Advisor. Zhang JX, Crowe JM, Meltzer DO (July 2017). "The ... Zhang JX, Meltzer DO (August 2016). "Identifying patients with cost-related medication non-adherence: a big-data approach". ... Meltzer includes a novel method identifying patient with cost-related medication non-adherence using a big-data approach. His ... De Avila JL, Meltzer DO, Zhang JX (March 2021). "Prevalence and Persistence of Cost-Related Medication Nonadherence Among ...
One concern is whether medication adherence is affected by the use of telepharmacy. One retrospective cohort study that ... The medication types administered most often are antibiotics, analgesics and gastrointestinal medications. This system improves ... improved access to pharmaceutical care and enabled pharmacists to monitor medication safety and encourage medication adherence ... "Telepharmacy and medication adherence in urban areas". Journal of the American Pharmacists Association: JAPhA. doi:10.1016/j. ...
"Social Stigma Concerns and HIV Medication Adherence". AIDS Patient Care and STDs. 20 (5): 359-368. doi:10.1089/apc.2006.20.359 ...
The financial burden can increase medication non-adherence. In some countries, laws protect patients with chronic conditions ... Solomons N, Kruger HS, Puoane TR (2017-10-10). "Adherence challenges encountered in an intervention programme to combat chronic ... Communicable chronic diseases are also typically only treatable with medication intervention, rather than lifestyle change as ...
Targeted deprescribing can improve adherence to other drugs. Deprescribing can reduce the complexity of medication schedules. ... Polypharmacy Medication Appropriateness Tool for Comorbid Health Conditions During Dementia (MATCH-D) Beers Criteria Medication ... Older people are the heaviest users of medications, and frequently take five or more medications (polypharmacy). Polypharmacy ... A systematic review of deprescribing studies for a wide range of medications, including diuretics, blood pressure medication, ...
Medication adherence is also more complicated at home. Unlike in a hospital setting, the medication is scheduled around the ... Also, client compliance, or client adherence to the plan of care, factors into client health outcomes. Home health care is ... Nurses typically visit the patient to provide monitoring, perform lab work, and administer medications. 2) Private Duty Nursing ... Some responsibilities that home health nurses take on include promoting health and disease prevention, medication ...
"Drug Use and Medication Adherence among HIV-1 Infected Individuals". AIDS and Behavior. 11 (2): 185-194. doi:10.1007/s10461-006 ... and Medication Adherence in HIV Infection". The American Journal of Geriatric Psychiatry. 17 (4): 281-290. doi:10.1097/JGP. ... "Medication adherence in HIV-positive African Americans: The roles of age, health beliefs, and sensation seeking". Cogent ... "Adherence to antiretroviral medications in HIV: Differences in data collected via self-report and electronic monitoring". ...
... interventions have most commonly been applied in areas of health; examples are depression, adherence to medication ... medication. The purpose in such programs is primarily to help patients take their medication as prescribed. A lack of medical ... "Intentional and non-intentional non-adherence to medication amongst breast cancer patients". European Journal of Cancer, 42, ... Stephenson, J. (1999). "AIDS researchers target poor adherence". Journal of the American Medical Association, 281, 1069. Senst ...
Chernew, Michael (January 2008). "Impact Of Decreasing Copayments On Medication Adherence Within A Disease Management ... Maciejewski, Matthew (November 2010). "Copayment Reductions Generate Greater Medication Adherence In Targeted Patients". Health ... medication adherence improved, and emergency room utilization decreased, relative to control populations in other states. In ... "Connecticut's Value-Based Insurance Plan Increased The Use of Targeted Services And Medication Adherence". Health Affairs. 35 ( ...
Brian Dolan (January 27, 2015). "Medication adherence app reminds pharmacy's HIV patients to take meds". MobiHealth News. ... Avella technologies include a mobile application for medication refills and reminders, as well as a provider portal which gives ... "Avella Partners with Novartis to Boost Oral Oncology Adherence Rates". Specialty Pharmacy Times. Retrieved November 12, 2013. " ... Specialty Pharmacist's Role as Educator in Adherence How Should Specialty Pharmacies Market Their Services? Avella Provides ...
Perfect use indicates complete adherence to medication schedules and guidelines. Typical use describes effectiveness in real- ... For those under 21, who typically have lower adherence to drug regimens, the risk is twice as high as the risk among older ... world conditions, where patients may not fully adhere to medication regimens. LARC methods require little to no user action ...
"Stimulant ADHD Medications: Methylphenidate and Amphetamines". Retrieved 2017-08-07.. *^ "Medication". Mental Health America. ... There can be problems with adverse effects and adherence.[31]. Antipsychotics[edit]. In addition of atypical antipsychotics in ... Medication[edit]. Psychiatric medication is also widely used to treat mental disorders. These are licensed psychoactive drugs ... "Medication for Bipolar Disorder". WebMD. Retrieved 2017-08-07.. *^ "List of Antipsychotics - Drugs.com". Drugs.com. Retrieved ...
... and sustaining medications. Anything that hinders a person's ability to perform those tasks negatively impacts their adherence ... Pregnancy Lack of adherence Non-intentional non-adherence Intentional non-adherence because of costs Intentional non-adherence ... Management of medications Medication Intake Prepare at take drugs Plan and organize drug intake Follow specific precautions ... Having multiple or constantly switching medications can complicate keeping track of what each medication is for and how to ...
Drug regimen simplification: Adherence to medication therapy is inversely related to the frequency of dosing. The antipsychotic ... Hall, Colleen (2017). "How you can simplify your patient's medication regimen to enhance adherence". Current Psychiatry. 16 (5 ... A lack of adherence can lead to poor health outcomes, as well as unnecessary financial burden. Economics: A patient or ... For example, long acting injectable (LAI) antipsychotics are often indicated in the setting of medication nonadherence. Drug ...
Consumer participation and medication compliance improved. The number of individuals exhibiting good adherence to meds ... AOT "programs improve adherence with outpatient treatment and have been shown to lead to significantly fewer emergency ... The individual may be subject to rapid recall to hospital, including medication over objections, if the conditions of the order ... The plan typically includes medication and may include other forms of treatment as well. Patients are often monitored and ...
Medication Possession Ratio[edit]. Prescription medical claims records can be used to estimate medication adherence based on ... Measure of non-Adherence. Definition of non-Adherence. Rate of Non-Adherence ... increase in patient medication cost share was found to be associated with low adherence to medication.[30] ... Issues about remembering to take medication[citation needed]. Partridge et al (2002) identified evidence to show that adherence ...
Adherence Management Coaching Medication therapy management Organizational behavior management Therapeutic behavior management ... They will review medications with the patients and provide oversight in medication administration. Most importantly, they help ... and their medication is identified by their provider within 48 hours. On average, they saved $3,070 in the first performance ... review and manage the medication for the patient, or provide a timely interaction between post-care providers and outpatient ...
"Interventions to increase adherence to medications for tobacco dependence". The Cochrane Database of Systematic Reviews. 8: ... When the medication is no longer needed, do not flush it down the toilet and return it to pharmacies through mail-back service ... Because this medication requires frequent periods of chewing throughout the day, people who have Temporomandibular joint ... Nicotinell was one of the biggest selling branded over-the-counter medications sold in Great Britain in 2016, with sales of £ ...
"Weight-based dosing in medication use: what should we know?". Patient Preference and Adherence. 10: 549-560. doi:10.2147/PPA. ... Over-the-counter medicationsEdit. In over-the-counter medicines, dosage is based on age. Typically, different doses are ... Over-the-counter medications are typically accompanied by a set of instructions directing the patient to take a certain small ... Some drugs or supplements have a slow-release feature in which portions of the medication are metabolized at different times, ...
They also report evidence that experiencing weight stigma is related to poor medication adherence. Among weight loss treatment- ... and the side effects of some medications. ...
The use of individual medications is growing faster than pill burden. Poor medical adherence is a common challenge among ... Gellad WF, Grenard JL, Marcum ZA (February 2011). "A systematic review of barriers to medication adherence in the elderly: ... This reduction in medications has been shown to reduce the number of medications and is safe as it does not significantly alter ... Cruz LP, Miranda PM, Vedana KG, Miasso AI (2011). "Medication therapy: adherence, knowledge and difficulties of elderly people ...
Inappropriate adherence. This could occur when a patient chooses not to or forgets to take a medication. Needs additional drug ... A heart medication to treat an infection. Dose too low. This could occur when a patient is given medication that is not strong ... This could occur when the patient has been placed on too many medications for their condition and the drug is simply not needed ... This could occur when a patient is given medication that is too strong and is causing detrimental effects or is simply not ...
Wiener, Lori; Riekert, Kristin; Ryder, Celia; Wood, Lauren V. (2004-09-01). "Assessing Medication Adherence in Adolescents with ... Wood also conducted studies of recombinant IL-2, HIV therapeutic vaccines and adherence to antiretroviral treatment. With other ... medication hiding, and medical functioning among perinatally infected, HIV-positive children and adolescents". AIDS Care. 24 (9 ... Caregiver and Regimen Characteristics Associated With Adherence to Highly Active Antiretroviral Therapy Among HIV-Infected ...
Atypical Medications and Impact on Adherence". Psychiatric Quarterly. 86 (2): 199-205. doi:10.1007/s11126-014-9319-1. ISSN 0033 ... Wu, Hanjing Emily; Okusaga, Olaoluwa O. (2014). "Antipsychotic Medication-Induced Dysphoria: Its Meaning, Association with ...
Ammendolia C, Taylor JA, Pennick V, Côté P, Hogg-Johnson S, Bombardier C (2008). "Adherence to radiography guidelines for low ... Wangler M, Zaugg B, Faigaux E (2010). "Medication Prescription: A Pilot Survey of Bernese Doctors of Chiropractic Practicing in ... trained chiropractors to prescribe certain medications.[62][63]). In the US, their scope of practice varies by state, based on ... of Swiss chiropractors considered their ability to prescribe nonprescription medication as an advantage for chiropractic ...
... adherence - adjuvant - administration - Adult AIDS Clinical Trials Group (AACTG) - adverse drug reaction - aerosolized - AETC ... antifungal medication - antigen - antigen presentation - antigen-presenting cell (APC) - antineoplastic - antiprotozoal - ...
MedicationsEdit. Evidence is insufficient to support the use of medications to treat obstructive sleep apnea.[26][49] This ... For example, when adherence is defined as greater than four hours of nightly use, 46% to 83% of patients with obstructive sleep ... An individual may also experience or exacerbate OSA with the consumption of alcohol, sedatives, or any other medication that ... Decreased muscle tone is also temporarily caused by chemical depressants; alcoholic drinks and sedative medications being the ...
Less toxic immunosuppressing medications such as rituximab, methotrexate, azathioprine, leflunomide, or mycophenolate mofetil ... increase their adherence to endothelium, and induce their degranulation that can damage endothelial cells. In theory, this ... Today, medication toxicity is managed more carefully and long-term remissions are possible. Some affected individuals are able ... Severe disease is typically treated with a combination of immunosuppressive medications such as rituximab or cyclophosphamide ...
"Approved Medications to Treat HIV Infection" (PDF). US Department of Health and Human Services. பார்த்த நாள் 2012-06-09. ... Kleeberger C, Phair J, Strathdee S, Detels R, Kingsley L, Jacobson LP (2001). "Determinants of Heterogeneous Adherence to HIV- ... Becker SL, Dezii CM, Burtcel B, Kawabata H, Hodder S. (2002). "Young HIV-infected adults are at greater risk for medication ... "Limited Patient Adherence to Highly Active Antiretroviral Therapy for HIV-1 Infection in an Observational Cohort Study". Arch. ...
Adherence[edit]. It has been repeatedly found that in the long-term, all diets with the same calorific value perform the same ... In 1797, John Rollo reported on the results of treating two diabetic Army officers with a low-carbohydrate diet and medications ... which are mainly determined by calorie restriction and adherence rather than the type of diet.[3] ... For individuals with type 2 diabetes who can't meet the glycemic targets or where reducing anti-glycemic medications is a ...
Shah AV, Serajuddin AT, Mangione RA (2017). "Making All Medications Gluten Free". J Pharm Sci. 107 (5): 1263-1268. doi:10.1016/ ... the potential presence of allergen due to cross-contamination through a documented risk assessment and despite adherence to ... A common medication to stop this is an antihistamine, which fights the histamines in the person's system. ...
Sandman, Lars (2012). "Adherence, Shared Decision-Making and Patient Autonomy". Medicine, Health Care and Philosophy: 115-27.. ... or the temporary treatment of a person living with a psychotic disorder with antipsychotic medication). While controversial, ...
Anticoagulants and thrombolytic medications also increase the likelihood of bleeding. Medications used to treat cancer can ... "Patient Preference and Adherence. 10: 1795-1801. doi:10.2147/PPA.S90468. PMC 5029911. PMID 27695298.. ... Ketorolac was patented in 1976 and approved for medical use in 1989.[5][2] It is available as a generic medication.[3] In 2017 ... "FDA Warns that Using a Type of Pain and Fever Medication in Second Half of Pregnancy Could Lead to Complications". U.S. Food ...
The single-dose therapy can be given as an injection, but is normally given in form of an oral medication.[51] ... Should pharmaceutical forms suitable for daily supplementation become available, patients displaying good treatment adherence ... In that study, the compliance calculation could be questionable, as only random samples of the returned medications were ... Medications may speed up the metabolism of vitamin D, causing a deficiency.[1] Some types of liver diseases and kidney diseases ...
Jorm AF (2012). "Ethics of giving antipsychotic medication to at-risk young people". Australian and New Zealand Journal of ... Specialized team probably reduces poor adherence to treatment. Data are based on moderate quality evidence. RR 0.2 (0.1 to 0.42 ... For example, the use of low-dose antipsychotic medication is promoted ("start low, go slow"), with a need for monitoring of ... There has also been debate about the ethics of using antipsychotic medication to reduce the risk of developing psychosis, ...
Drug induced disorders - Many drugs and medications can have an adverse effect on the periodontal tissues, through contributing ... It is this adherence to non-shedding surface that allows bacteria in a dental biofilm to have unique characteristics of ... Co-adhesion involves the adherence of planktonic or single culture cells to already attached organisms on a surface. The ... including but not limited to systemic conditions such as uncontrolled diabetes mellitus and some medications. The signs and ...
The medication lithium may be useful in certain situations to reduce the risk of suicide.[23][24] Talk therapies[25] including ... Hospitalization for those with low adherence to collaboration for help and those who require monitoring & secondary symptom ... Medication[edit]. Recent research has shown that lithium has been effective with lowering the risk of suicide in those with ... Supportive therapy like substance abuse treatment, Psychotropic medication, Family psychoeducation and Access to emergency ...
Others fear that pain medication will make the fetus weak and unhealthy. Some Japanese women who do not use pain medication for ... Total adherence exceeds 100% because many identify with both Shintoism and Buddhism. Shinto shrines, honoring gods and ... Without pain medication, labor displays the woman's strength and responsibility. Some believe that not experiencing pain during ... Therefore, Japanese births tend to be without pain medication. Furthermore, there is a more positive image of a women capable ...
Some social scientists have used the word "dominionism" to refer to adherence to Dominion Theology[135][136][137] as well as to ... and bans on abortifacient medications. ...
The Washington Post wrote in 2003 that "U.S. Customs estimated 10 million U.S. citizens brought in medications at land borders ... "Specialty Drug Coupons Lower Out-of-pocket Costs and May Improve Adherence at the Risk of Increasing Premiums". Health Affairs ... This information will help the public and policy makers see spending trends on medications and be able to shift focus on how ... It is becoming increasingly difficult, at both the individual and societal level, to afford to pay for such medications, as the ...
... people taking antacid medication (e. g. people with gastritis or stomach ulcers) are at higher risk of contracting disease from ... "Role of flagella in adherence, internalization, and translocation of Campylobacter jejuni in nonpolarized and polarized ... a smaller amount of organisms, since this type of medication inhibits normal gastric acid. ...
Examples of affected medications include epinephrine auto-injectors and insulin.[17] Between 2011 and 2016, Mylan was the only ... The number of Americans who reported cost-related non-adherence to their prescriptions was more than double the number of ... The Washington Post wrote in 2003 that "U.S. Customs estimated 10 million U.S. citizens brought in medications at land borders ... This information will help the public and policy makers see spending trends on medications and be able to shift focus on how ...
Medications[edit]. Certain opioid medications such as methadone and more recently buprenorphine (In America, "Subutex" and " ... a scale measuring adherence to the disease model or the free-will model addiction).[4] ... Medication like methadone and buprenorphine can be used to treat addiction to prescription opiates, and behavioral therapies ... Treatment includes medication for depression or other disorders, counseling by experts and sharing of experience with other ...
Pain on walking that confines the patient to bed indicates possible cancer adherence to or invasion of the iliacus muscle. Pain ... Muscle and joint pain Withdrawal of steroid medication can cause joint pain and diffuse muscle pain accompanied by fatigue; ...
... and strict adherence to the diet gives more benefit than incomplete adherence. Nevertheless, gluten-free diet doesn't ... At present, the only effective treatment is a lifelong gluten-free diet.[51] No medication exists that prevents damage or ... Strict adherence to the diet helps the intestines heal, leading to resolution of all symptoms in most cases and, depending on ... Furthermore, up to 30% of patients continue to have gastrointestinal symptoms despite a strict GFD.122,124 If adherence is ...
"Patient Preference and Adherence. 8: 331-8. doi:10.2147/PPA.S41565. PMC 3964161. PMID 24672227.. ... People are more compliant and satisfied to take this medication than any other due to minimal side effects, prolonged remission ...
... and there may also be off-label use of medications. There can be problems with adverse effects of medication and adherence to ... Medication. A major option for many mental disorders is psychiatric medication and there are several main groups. ... "NIMH » Mental Health Medications". www.nimh.nih.gov. Retrieved 6 May 2019.. ... Medication. Antidepressants, antipsychotics, anxiolytics, mood stabilizers, stimulants. Frequency. 18% per year (United States) ...
Asperger syndrome can be misdiagnosed as a number of other conditions, leading to medications that are unnecessary or even ... Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior (e.g., extreme ...
The medications used in menopausal HRT are available in numerous different formulations for use by a variety of different ... the WHI trial was limited by low adherence, high attrition, inadequate power to detect risks for some outcomes, and evaluation ... The main hormonal medications used in HRT for menopausal symptoms are estrogens and progestogens, among which progesterone is ... See also: Testosterone (medication) § Women. HRT can help with the lack of sexual desire and sexual dysfunction that can occur ...
Rates of adherence to DOACs are only modestly higher than adherence to warfarin among patients prescribed these drugs, and thus ... Kosyfaki P, Att W, Strub JR (August 2011). "The dental patient on oral anticoagulant medication: a literature review". Journal ... Any suggested modification to the medication regimen prior to dental surgery should be done in consultation and on advice of ... The risks of stopping or reducing these medication regimens (i.e., thromboembolism, stroke, myocardial infarction) far outweigh ...
In more advanced cases, recurrent erosions occur during sleeping from adherence of the corneal epithelium to the upper eyelid ... off all medications, and passing their standard vision tests. In one study, 967 of 968 naval aviators having PRK returned to ...
This presentation contains results from the Healthcare Intelligence Networks third annual medication adherence survey, which ... 2013 Benchmarks in Medication Adherence * 1. 2013 Benchmarks in Medication Adherence Brought to you by the Healthcare ... 2. Medication Adherence Benchmark Data - Medication non-adherence costs are estimated at $290 billion in otherwise avoidable ... 3. Medication Adherence Benchmark Data - Figure 1 - Have Program to Improve Medication Adherence - Figure 2 - Most Receptive ...
Medication adherence to multidrug regimens.. Marcum ZA1, Gellad WF.. Author information. 1. Department of Medicine (Geriatrics ... Despite the fact that medication adherence has been extensively described in the literature over the last several decades, a ... General Conceptual Model of Medication Adherence and the Interaction Between Patient Factors, from Gellad et al, 2009, ... Only then can we begin to make significant improvements to the medication use process and, in turn, the health of older adults. ...
Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as ... To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical ... Medication Adherence. Its Importance in Cardiovascular Outcomes. P. Michael Ho, Chris L. Bryson, John S. Rumsfeld ... The goals of the present report are to address (1) different methods of measuring adherence, (2) the prevalence of medication ...
People who received automated reminders were more likely to refill their blood pressure and cholesterol medications, according ... Automated reminders improve medication adherence and cholesterol control. Published Monday 17 November 2014 Published Mon 17 ... "Automated reminders improve medication adherence and cholesterol control." Medical News Today. MediLexicon, Intl., 17 Nov. 2014 ... At the beginning of the study, participants were taking their medications a little more than half the time. Adherence levels ...
... proportion of people aged 35 to 64 with employer-sponsored health insurance are nonadherent to antihypertensive medications. Is ... Relationship Between Adherence to Antihypertensive Medication Regimen and Out-of-Pocket Costs Among People Aged 35 to 64 With ... Our study findings show that there is room for improving adherence to antihypertensive medications among patients with employer ... The results highlight room for improvement in medication adherence among patients with employer-sponsored health insurance, ...
NEW Medication Adherence (MA) Interventions for 2021 (Updated on February 12, 2021). *Adapted Holistic Health Recovery Program ... Project routinely updates the MA chapter by adding newly identified EBIs that improve HIV medication adherence or viral load ...
... and colleagues tried to reduce missed doses of daily medications, improve asthma control and tamp down on schoolchildrens ... Schools in for asthma medication adherence. Childrens National Health System. Journal. Journal of Asthma. Keywords. * ... IMAGE: Stephen J. Teach, M.D., M.P.H., and colleagues tried to reduce missed doses of daily medications, improve asthma control ... This chronic condition is typically treated with nightly and morning doses of inhaled corticosteroids (ICS), medications that ...
Editorialist says future research should test which components of the PCMH model most affect adherence. ... Cite this: PCMH Tied to Better Adherence for Chronic Disease Medication - Medscape - Nov 14, 2016. ... systematically tracking adherence to medications from all prescribers and identifying barriers; identifying patients who need ... better medication adherence than patients in other practices, new nationwide data show. ...
Value-based insurance design bases cost sharing on a medications clinical value, not its price. This study shows the ... Medication adherence of the VBID program participants and nonparticipants was measured 12 months before and 12 and 24 months ... Medication adherence improved from 1.4 percent to 3.2 percent during the first year. ... Two years after VBID implementation, medication adherence improved from 2.1 percent to 5.2 percent. ...
... Scott Burgess,1 Peter Sly,2 and Sunalene Devadason3 ... Scott Burgess, Peter Sly, and Sunalene Devadason, "Adherence with Preventive Medication in Childhood Asthma," Pulmonary ...
Applications may target medication adherence in the context of treatment for a single illness or chronic condition (e.g., ... the current FOA seeks applications that aim to produce adherence interventions that will improve behavioral adherence and ...
In 2016, our research found medication adherence to oral diabetes medications was greatest among commercially insured people ... Medication adherence pays off in a meaningful way for patients, in both better health and lower total healthcare costs, said ... Adherence is increasing. In 2016, nearly 85 percent of people treating diabetes used oral diabetes medications, such as ... 90-day supplies of medication are associated with greater adherence: 81 percent of people who received a 90-day supply of oral ...
in Coronavirus, Featured Home - Your Health, Health, Health policy, Medication adherence Blog Post /by NCL staff. By NCL Health ... in Featured Home - Your Health, Health, Health policy, Healthcare coverage, Medication adherence Press Releases /by NCL staff. ... in Consumer Education, Featured Home - Your Health, Health, Health policy, Medication adherence Blog Post /by NCL staff. ... This could compromise medication adherence and will lead to increased health care costs over time." - NCL Executive Director ...
Increasing medication adherence in children allows pediatricians to be confident that prescribing their first line of treatment ... Survey Aims to Improve Medication Adherence with the Help of Pediatricians Nationwide. ... Especially in the case of medications such as antibiotics, failure to complete medication regimens can result in the ... examines the role of taste masking agents on the improvement of medication adherence in children. By determining the impact of ...
ADHD medication adherence is generally low. Thomas Brown, Ph.D., suggests that non-prescribers collaborate with physicians to ... ADHD Medications and Dosages Are Misunderstood. Several factors contribute to low adherence, Brown said, but incomplete or ... Too Much Medication? Or the Wrong Kind? I have both ADHD and OCD. Now, my medication no longer works. Ive had to escalate the ... Studies show that ADHD medication adherence is low for both children and adults. "A lot of people get prescriptions for ...
... to advance the next-generation of HIV medication adherence. ... Innovative Measures of Medication Adherence for HIV Treatment ... to advance the next-generation of HIV medication adherence. The meeting convened eleven research teams that are working to ... develop and validate innovative assessments of oral antiretroviral medication adherence under a recent NIMH-NIAID collaborative ... and wireless technologies that provide real-time and point-of-care adherence assessments. Meeting discussions centered on ...
Electronic monitoring to measure medication adherence by patients with glaucoma documented that a sizable number of patients ... Automated Text or Voice Messages Help Improve Glaucoma Medication Adherence An intervention that included text or voice ... The barriers to medication adherence by patients with glaucoma are complex. There is a growing body of work on improving ... Medication adherence is important.. Patients who were treated with once-daily prostaglandin eye drops were recruited from a ...
... adherence to these medications increased four to six percentage points. Even with this improvement, overall adherence to these ... Adherence is the process in which a patient follows his/her doctors instructions, including when to take certain medications. ... "The elimination of co-payments for certain medications following a heart attack resulted in improved patient adherence to the ... "Heart Attack Patients - Eliminating Co-Payments Improves Outcomes, Costs And Medication Adherence." Medical News Today. ...
Little is known about the frequency with which patients fail to fill prescriptions when new medications... ... BACKGROUND Non-adherence to essential medications represents an important public health problem. ... medication class was the strongest predictor of adherence, and non-adherence was common for newly prescribed medications ... We calculated primary adherence and non-adherence rates for all e-prescriptions and for new medication starts and compared the ...
Adherence to asthma controller medication regimens. Download Prime PubMed App to iPhone, iPad, or Android ... TY - JOUR T1 - Adherence to asthma controller medication regimens. AU - Stempel,D A, AU - Stoloff,S W, AU - Carranza Rosenzweig ... Adherence to asthma controller medication regimens.. Respir Med. 2005 Oct; 99(10):1263-7.RM ... "Adherence to Asthma Controller Medication Regimens." Respiratory Medicine, vol. 99, no. 10, 2005, pp. 1263-7. ...
CPSTF recommends the use of text messaging interventions to increase medication adherence among patients with chronic medical ... Text Messaging Interventions for Medication Adherence Among Patients with Chronic Diseases - use this one-pager as a quick ... Mobile telephone text messaging for medication adherence in chronic disease. JAMA Internal Medicine 2016;176(3):340-9. ... Health Information Technology: Text Messaging Interventions for Medication Adherence Among Patients with Chronic Diseases ...
Patient adherence declines from 100% to a range of 70%-80%, and by day 300, adherence drops to a range of 60%-70%. If patients ... Such a digitally enabled adherence method enables registration and verification of individual medication intake via sensor ... The electronic adherence methods also allow the site to monitor adherence patterns of patients and take proactive data-driven ... Electronic Adherence and the Digital Pill Solution. Pharma companies have been using different methods for tracking patient ...
Adherence assessment. Definitions.. For this review, medication adherence was operationalized as "taking medication as ... Reports of adherence with diet or exercise that did not also include medication adherence rates were also excluded. Reports may ... A first step to improving adherence is being able to assess it. Developing methods that properly assess medication adherence as ... surprisingly few studies were found that adequately quantified adherence to diabetes medication. The overall rate of adherence ...
Home USA Health Adherence Medication Crucial to Success of Any Treatment Programme ... Suboptimal adherence predisposes to drug resistance.". Some of the factors listed by Dr Satish that affect adherence to a ... stressed upon the importance of adherence to both care and medication for the success of any treatment programme including HIV/ ... Likewise non-adherence to antiretroviral therapy (ART) in treatment of HIV is common to all groups of individuals on treatment ...
Patient Commitment Preferences for Medication Adherence Other: Survey to Understand Medication Adherence among HIV Patients ... Medication Adherence and Commitment Preference [ Time Frame: up to 4 months ]. We will measure how subjects medication ... Understanding Medication Adherence Among HIV Patients. The safety and scientific validity of this study is the responsibility ... Other: Survey to Understand Medication Adherence among HIV Patients We want to better understand how this particular population ...
HIV medication adherence [ Time Frame: up to 6 months ]. Self-reported adherence to HIV medications will be assessed using the ... Self-efficacy for adherence to HIV medications will be assessed using the HIV-ASES (Johnson et al., 2007). The HIV-ASES is a 12 ... Electronic Intervention for HIV Medication Adherence. The safety and scientific validity of this study is the responsibility of ... Behavioral: Life Steps for Medication Adherence The intervention was adapted into an electronic version of the empirically ...
Effects of combination drugs on antihypertensive medication adherence in a real-world setting: a Korean Nationwide Study Seung ... What are the important design features of personal health records to improve medication adherence for patients with long-term ... Patient-physician discordance in assessment of adherence to inhaled controller medication: a cross-sectional analysis of two ... Examining and adapting the information-motivation-behavioural skills model of medication adherence among community-dwelling ...
... allows users to download spreadsheets of performance data on medication adherence (including blood pressure medications) for ... Measure: Blood Pressure Medication Adherence. Indicator. Date of Most Recent Measure. Current Measure. Trend. ... The adherence measure is the percent of adults taking a blood pressure medication who have met the 80% days covered threshold. ... Table 2: Blood Pressure Medication Adherence by Age Group, 2015. Age Group. ACE Inhibitors or ARBs. Diuretics. ...
Cincinnati Childrens Hospital study finds app improves medication adherence among adolescents By Heather Mack September 22, ... Study: App improves medication adherence with no change in systolic blood pressure among hypertension patients ... Seattle, Washington-based Pillsy has officially launched its digital medication adherence and tracking tool, which consists of ... Digital patient engagement company HealthPrize Technologies has partnered with Walgreens to offer its medication adherence ...
Single-pill fixed-dose combinations simplify the habit of medication taking and improve medication adherence. Re-packing of ... Single-pill fixed-dose combinations simplify the habit of medication taking and improve medication adherence. Re-packing of ... Medication adherence is a multifaceted issue and consists of three components: initiation, implementation and persistence. A ... Medication adherence is a multifaceted issue and consists of three components: initiation, implementation and persistence. A ...
  • Medication nonadherence is a growing concern to clinicians, healthcare systems, and other stakeholders (eg, payers) because of mounting evidence that it is prevalent and associated with adverse outcomes and higher costs of care. (ahajournals.org)
  • The goals of the present report are to address (1) different methods of measuring adherence, (2) the prevalence of medication nonadherence, (3) the association between nonadherence and outcomes, (4) the reasons for nonadherence, and finally, (5) interventions to improve medication adherence. (ahajournals.org)
  • In an accompanying editorial , Michele Heisler, MD, MPA, from the University of Michigan and Veterans Affairs Ann Arbor Healthcare System, praised the current study, noting the importance of improving adherence rates, a key factor linked with better outcomes and lower healthcare costs. (medscape.com)
  • The next step will be to see what features of the PCMH are most critical for improving adherence and then associated clinical outcomes. (medscape.com)
  • In summary, the current FOA seeks applications that aim to produce adherence interventions that will improve behavioral adherence and healthcare outcomes that could be rapidly translatable and feasible in real world practice. (siue.edu)
  • But it's much more complicated than that," he said - and in order to improve long-term adherence rates, patients should be better educated on exactly how medication works, and what the most likely outcomes of its use will be. (additudemag.com)
  • Either of these outcomes increases the likelihood that a patient will abandon a medication regimen, Brown said. (additudemag.com)
  • In order for ADHD medication to work effectively with minimal side effects, Brown said, patients must understand typical medication outcomes, monitor their experience closely, and prepare to make regular adjustments as a result. (additudemag.com)
  • In this study, the researchers set out to determine whether eliminating co-payments for post-heart attack medications might improve adherence and provide better outcomes. (medicalnewstoday.com)
  • While the elimination of cost sharing did not significantly alter the trial's primary end-point, which included revascularizations along with vascular events, the intervention was successful in reducing rates of important clinical outcomes, lowering the amount that patients spent on medications and other non-drug health services, and did not increase overall health care costs. (medicalnewstoday.com)
  • Outcomes included asthma medication refill rates and persistence measured by treatment days. (unboundmedicine.com)
  • Poor adherence to long-term therapies leads to poor health outcomes and increased health care costs. (thecommunityguide.org)
  • But we need more than 90% adherence for successful outcomes of HIV treatment. (newsblaze.com)
  • Intervention includes education about HIV and medication adherence, motivational interviewing, cognitive behavioral techniques, and problem-solving strategies to improve HIV medication adherence and clinical outcomes. (clinicaltrials.gov)
  • This paper presents the outcomes of discussions by a European group of experts on the current situation of medication adherence in hypertension. (frontiersin.org)
  • It then describes the opportunities for analytical chemistry to assess medication adherence and thereby provide an evidence base for clinicians to improve patient health outcomes. (rti.org)
  • Interventions to improve medication adherence among older adults: Meta-analysis of adherence outcomes among randomized controlled trials. (healio.com)
  • Many patients do not adhere to treatment because they cannot afford their prescription medications, putting them at increased risk of adverse health outcomes. (cmaj.ca)
  • 1 , 2 Suboptimal adherence to prescription medications is a well-known impediment to effective treatment and, consequently, an impediment to better health outcomes. (cmaj.ca)
  • As providers take on financial risk for populations of patients, they're going to have to figure this out because if you have 40% to 50% of patients at high risk who, for example, have had heart attacks taking their medications, you're not going to have outcomes that are nearly as good as they could be," he said. (acpinternist.org)
  • This non-adherence burdens both the healthcare costs and undesirable clinical outcomes. (scirp.org)
  • How does the industry move to long-term, outcomes-based approaches to medication adherence and MTM that go beyond immediate and temporary fixes? (worldcongress.com)
  • It is developed through a five-year Research Collaboration Agreement (RCA) between MediMergent and CDER to deploy data collection and analytic tools for real-world evidence using MediMergent's proprietary platform, the National Medication Safety Outcomes and Adherence Program (NMSOAP ). (businesswire.com)
  • These data determine longitudinal risk-related profiles on disease management and treatment, medication non-adherence/persistence, patient safety, clinical outcomes, drug effectiveness, REMs, and comparative effectiveness. (businesswire.com)
  • 1,2 Low adherence is often the broken link between new therapies and improved health outcomes, 3 and is a target for reducing healthcare costs. (ajmc.com)
  • The complexity of a patient's therapy influences medication adherence, and researchers generally agree that standardizing medication schedules can improve medication adherence and health outcomes. (brightsurf.com)
  • Taking medication as directed is critical to improving outcomes. (cardiosmart.org)
  • Authors hope their findings will ultimately help improve medication adherence and improve outcomes for patients with heart disease-the leading killer of Americans. (cardiosmart.org)
  • Experts hope these efforts will help ensure that patients adhere to potentially life-saving medications and improve outcomes. (cardiosmart.org)
  • Adherence to medication regimens is therefore essential for improved patient health outcomes. (wiley.com)
  • Spiritual interventions could be beneficial in promoting adherence and positive health outcomes. (doaj.org)
  • MOORESTOWN, N.J. , April 15, 2021 /PRNewswire/ -- Tabula Rasa HealthCare, Inc ® (TRHC) (NASDAQ: TRHC), a leading healthcare technology company advancing the safe use of medications, today announced it has partnered with OneOme, co-founded by Mayo Clinic, a provider of solutions for implementing pharmacogenomics (PGx) in patient care to advance more optimal patient outcomes. (yahoo.com)
  • Primary outcomes of the research should include: a patient self-report of medication adherence, and at least one other non-self-report measure of medication adherence (e.g., pharmacy refill records, electronic monitoring, etc. (nih.gov)
  • Adherence is a factor in health outcomes of pharmacotherapy with possible failure to achieve therapeutic goals and worsening of illness. (dovepress.com)
  • Patient adherence to a medication regimen is central to good patient outcomes. (acpm.org)
  • Effective provider/patient communication is empirically linked to positive outcomes of care including patient satisfaction, health status, recall of information, and adherence [1][2]. (acpm.org)
  • Adherence is the key mediator between medical practice and patient outcomes. (acpm.org)
  • Medication adherence means taking your medications regularly and as directed, and it's pretty important because it can lead to better health outcomes and save you money by preventing further health complications. (anthem.com)
  • What are the key outcomes of the five forces analysis of the Medication Adherence Packaging Systems market? (medgadget.com)
  • The FICO Medication Adherence Score has the potential to deliver immediate value in this area, helping physicians, health care organizations, pharmacy benefit managers, clinical review organizations, and pharmaceutical marketers improve patient outcomes while lowering costs. (fico.com)
  • Furthermore, the regular visits required for medication administration can foster the therapeutic alliance, potentially improving treatment outcomes. (empr.com)
  • Medication adherence efforts figure prominently into many key initiatives rolled out from healthcare reform from care transition management, where insufficient education and errors can lead to non-adherence, to accountable care organizations and patient-centered medical homes, where provider reimbursement and rewards are closely tied to patient compliance, satisfaction, clinical outcomes and appropriate use of healthcare services. (hin.com)
  • No matter what your adherence needs, from driving script volume and increasing PDC scores, to streamlining workflow and dealing with climbing DIR fees, only Omnicell provides a full suite of scalable medication adherence solutions to help you achieve your business goals and improve patient outcomes. (omnicell.com)
  • In clinical care, adherence monitoring can help optimize treatment and prevention outcomes by facilitating delivery of support interventions to those in need. (nih.gov)
  • Medication adherence to multidrug regimens. (nih.gov)
  • We found that nonadherence to antihypertensive medication regimens was common and was most common among patients with higher out-of-pocket costs. (medscape.com)
  • By determining the impact of taste on a child's willingness to remain compliant to medication regimens, the IAMC will gain additional insight into the necessity for educational programs that discuss the influence of palatability on adherence. (prweb.com)
  • Especially in the case of medications such as antibiotics, failure to complete medication regimens can result in the development and spread of infectious strains resistant to low-levels of medication. (prweb.com)
  • Many patients with ADHD don't adhere to their prescribed treatment regimens - usually because medications are ineffective, or side effects are intolerable. (additudemag.com)
  • This study confirms a previous report that adherence profiles of fluticasone and salmeterol in a single inhaler are significantly better when compared to the controller regimens of fluticasone and salmeterol in separate inhalers, fluticasone and montelukast, or fluticasone alone and similar to montelukast alone. (unboundmedicine.com)
  • Several studies suggest that a large proportion of people with diabetes have difficulty managing their medication regimens (oral hypoglycemic agents [OHAs] and insulin) as well as other aspects of self-management ( 1 , 5 , 6 ). (diabetesjournals.org)
  • Whereas some studies that have assessed adherence among young people with type 1 diabetes ( 6 , 7 ), little is known about adherence to insulin regimens in patients with type 2 diabetes. (diabetesjournals.org)
  • Researchers and pharmacists have helped by offering simplified treatment regimens that lead to better long term medication adherence, improve quality of life, avoid long term toxicities, and reduce risk of virologic failure. (newsblaze.com)
  • 2007). The HIV-ASES is a 12-item scale of patient confidence in their ability to carry out behaviors related to adhering to medication regimens. (clinicaltrials.gov)
  • and complexity in managing multiple medication regimens. (lexology.com)
  • Consequently, several programs that simplify patient medication regimens currently are being offered in community pharmacies. (brightsurf.com)
  • The Partnership also released poll results that found that nearly two-thirds of patients who take medication do not properly adhere to prescription regimens. (drugstorenews.com)
  • Those enrolled in medication therapy management services in 2010 - and particularly those who received comprehensive medication reviews - experienced significant improvement in the quality of their drug regimens and costs were saved. (drugstorenews.com)
  • Tabula Rasa HealthCare (NASDAQ: TRHC) provides medication safety solutions that empower healthcare professionals to optimize medication regimens and reduce medication-related risk, specifically targeting adverse drug events. (yahoo.com)
  • The questionnaire asks 6 questions that relate to adherence to prescribed insulin regimens and how they relate to cost. (diabetesincontrol.com)
  • This discussion focuses on approaches to improve medication adherence, particularly in reference to helping adolescents remain on recommended psychopharmacological regimens when transitioning from acute to long-term maintenance. (psychiatrictimes.com)
  • A major conundrum is lack of adherence to recommended psychopharmacological regimens. (psychiatrictimes.com)
  • Physicians have less control over the other dimensions, but profound effects on patient adherence to medication regimens can be made by improving the provider/patient interaction. (acpm.org)
  • Of course, there are many wireless health tools and services that can help people follow their medication regimens. (mobihealthnews.com)
  • Patients have multiple prescriptions which makes reconciliation of medication regimens challenging. (lacare.org)
  • The challenge of sustaining adherence to oral medication regimens has long vexed chronic disease prevention and management efforts/programs. (nih.gov)
  • In research, proof-of-concept trials testing new pharmacologic regimens require valid adherence data for proper interpretation, because any null findings may stem from poor adherence rather than a lack of drug efficacy. (nih.gov)
  • Major barriers to compliance are thought to include the complexity of modern medication regimens, poor "health literacy" and not understanding treatment benefits, occurrence of undiscussed side effects, poor treatment satisfaction, cost of prescription medicine, and poor communication or lack of trust between a patient and his or her health-care provider. (wikipedia.org)
  • Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as whether they continue to take a prescribed medication. (ahajournals.org)
  • A 2016 study estimated that patients with commercial insurance paid about $4.13 in copayments per antihypertensive medication prescription filled in 2014, slightly lower than the out-of-pocket cost estimate reported in our study, which provides a more comprehensive estimate that includes copayments, coinsurance, and deductibles. (medscape.com)
  • Numerous experimental and quasi-experimental studies have found a causal relationship between lowering patients' out-of-pocket costs and reducing medication nonadherence. (medscape.com)
  • Our study findings show that there is room for improving adherence to antihypertensive medications among patients with employer-sponsored insurance and that patients who faced higher out-of-pocket costs had a greater likelihood of being nonadherent. (medscape.com)
  • Doctors and researchers have long known that the level of stress patients experience is inversely linked to how adherent they are with taking medications: The higher the stress, the less likely patients are to take doses of their medication correctly, on time or at all. (eurekalert.org)
  • Patients with chronic conditions who received care in patient-centered medical homes (PCMHs) had 2% to 3% better medication adherence than patients in other practices, new nationwide data show. (medscape.com)
  • Julie C. Lauffenburger, PharmD, PhD, from the Department of Pharmacoepidemiology and Pharmacoeconomics at Brigham and Women's Hospital in Boston, Massachusetts, and colleagues, studied Aetna claims between 2011 and 2013 and calculated adherence 12 months after patients started common medications for chronic diseases, including diabetes, hypertension, and hyperlipidemia. (medscape.com)
  • They compared adherence between patients of PCMHs recognized by the National Committee for Quality Assurance and those in control practices in the same primary care service areas. (medscape.com)
  • Adherence rates averaged 64% among PCMH patients and 59% among control patients. (medscape.com)
  • A previous study in 2015 comparing PCMHs with controls among North Carolina Medicaid beneficiaries found even higher rates of adherence for PCMH patients: about 3% to 6% higher than in control patients, depending on the disease state. (medscape.com)
  • But success must be measured beyond adherence, she writes: "[T]he true next frontier is to measure improvements in domains that patients identify as being most important to them. (medscape.com)
  • The adherence changes were most notable among previously nonadherent patients. (rwjf.org)
  • ESRX ) reveals that commercially insured people who were adherent to their oral diabetes medications experienced significantly fewer emergency room visits and inpatient hospitalizations, and spent nearly $500 less on total healthcare costs compared to nonadherent patients, potentially avoiding more than $210 million in healthcare spending in 2016. (prnewswire.com)
  • Those who were adherent to their medications experienced 235 fewer ER visits and 50 fewer inpatient hospitalizations per 1000 patients. (prnewswire.com)
  • Medication adherence pays off in a meaningful way for patients, in both better health and lower total healthcare costs,' said Glen Stettin , M.D., senior vice president, clinical, research and new solutions at Express Scripts. (prnewswire.com)
  • Those costs are amplified for patients who are nonadherent to their medications: ER visit costs were 1.5 times more, and inpatient hospitalizations were 1.6 times more for nonadherent patients compared to adherent patients. (prnewswire.com)
  • Patients not only want a discount, they depend on it to afford necessary, sometimes lifesaving, medication to treat their health condition. (nclnet.org)
  • Increasing medication adherence in children allows pediatricians to be confident that prescribing their first line of treatment will result in successful medications programs for their patients. (prweb.com)
  • Many patients often resort to using food and drink like chocolate syrup, orange juice and ice cream to help improve the taste of medications. (prweb.com)
  • Therefore, the IAMC recommends that patients consult their pediatrician, physician or pharmacist before mixing medications with food or drink. (prweb.com)
  • In a presentation at the 2018 annual meeting of APSARD, Thomas Brown, Ph.D., outlined one solution: greater provider collaboration to better educate patients and fine-tune medication based on detailed observations. (additudemag.com)
  • Most patients who are prescribed ADHD medication don't fully understand how it works or what side effects might occur, said Thomas Brown, Ph.D., in a talk at the 2018 Annual Meeting of The American Professional Society of ADHD and Related Disorders ( APSARD ). (additudemag.com)
  • One 2012 study on 46,000 children, for instance, found that patients who were prescribed short-acting ADHD medications took them an average of just 79 days in a calendar year. (additudemag.com)
  • And since the dangers of untreated ADHD generally outweigh the risks of treatment, the question for clinicians to consider when grappling with low adherence rates is clear: "What are some of the things that are getting in the way" of patients taking their medication regularly? (additudemag.com)
  • Many patients view ADHD as a simple "chemical imbalance in the brain," Brown said, and may be under the impression that ADHD medication will be a quick fix. (additudemag.com)
  • Electronic monitoring to measure medication adherence by patients with glaucoma documented that a sizable number of patients did not regularly use the eye drops prescribed to them. (eurekalert.org)
  • Of the 407 patients who completed the three-month adherence assessment, 337 (82.8 percent) took their medication correctly on at least 75 percent of days. (eurekalert.org)
  • The other 70 patients (17.2 percent) (deemed nonadherent) were less likely to be able to name their glaucoma medication, less likely to agree that remembering to use the medication was easy, and more likely to agree with the sentiment that eye drops can cause problems. (eurekalert.org)
  • An intervention that included text or voice messages appeared to help patients with glaucoma adhere to their eye drop medication. (eurekalert.org)
  • The barriers to medication adherence by patients with glaucoma are complex. (eurekalert.org)
  • The 70 nonadherent patients in the related study that assessed medication adherence were randomized to an intervention (n=38) or to a control group (n=32) where they received no additional intervention. (eurekalert.org)
  • The intervention consisted of daily messages, either text or voice, reminding patients to use their glaucoma medication. (eurekalert.org)
  • The median adherence rate in the 38 patients in the intervention increased from 53 percent to 64 percent. (eurekalert.org)
  • Although drugs can reduce the risk of subsequent cardiovascular events for heart attack patients, adherence rates are generally poor. (medicalnewstoday.com)
  • The patients were carefully monitored so that the researchers could track their drug-adherence rates, as well as how many major vascular events they suffered. (medicalnewstoday.com)
  • Little is known about the frequency with which patients fail to fill prescriptions when new medications are started ("primary non-adherence") or predictors of failure to fill. (springer.com)
  • The Community Preventive Services Task Force (CPSTF) recommends the use of text messaging interventions to increase medication adherence among patients with chronic medical conditions . (thecommunityguide.org)
  • Patients receive regular text messages reminding or encouraging them to take their medications as prescribed. (thecommunityguide.org)
  • For patients, this means more investigations, paperwork, and complex medication dosage regimes to adhere to. (tcs.com)
  • The electronic adherence methods also allow the site to monitor adherence patterns of patients and take proactive data-driven decisions. (tcs.com)
  • OBJECTIVE -The purpose of this study was to determine the extent to which patients omit doses of medications prescribed for diabetes. (diabetesjournals.org)
  • RESULTS -Retrospective analyses showed that adherence to OHA therapy ranged from 36 to 93% in patients remaining on treatment for 6-24 months. (diabetesjournals.org)
  • CONCLUSIONS -This review confirms that many patients for whom diabetes medication was prescribed were poor compliers with treatment, including both OHAs and insulin. (diabetesjournals.org)
  • However, electronic monitoring systems were useful in improving adherence for individual patients. (diabetesjournals.org)
  • ART has been found to fail in nearly half of the patients for whom it is prescribed mainly due to non-adherence. (newsblaze.com)
  • We will conduct a survey with HIV/AIDS patients at Ponce Clinic (Infectious Disease Program of Grady Memorial Hospital, Emory University School of Medicine, Atlanta, GA). The patients will be low-income persons living with HIV/AIDS and possessing varying degrees of medication adherence. (clinicaltrials.gov)
  • What are the important design features of personal health records to improve medication adherence for patients with long-term conditions? (bmj.com)
  • Medicaid beneficiaries have the lowest rate of adherence to blood pressure medication and Medicare patients have the highest (25.9 percentage points lower for ACE Inhibitors or ARBs and 24.5 percentage points lower for diuretics). (mn.us)
  • A study recently published in Heart found that coronary heart disease (CHD) patients assigned a smartphone app for medication reminders demonstrated greater adherence than those who did not. (mobihealthnews.com)
  • Adherence issues are common in patients taking antihypertensive therapy and associated with increased risks of coronary and cerebrovascular events. (frontiersin.org)
  • The lack of adherence to medication is a growing public health problem worldwide and is costing many patients their good health and healthcare systems billions of dollars. (rti.org)
  • The final chapter provides the authors' perspective in this area, emphasizing the importance of medication optimization for individual patients. (rti.org)
  • Applications of this work to patient healthcare include improved medications for newborn babies and to assess adherence to cardiovascular drug therapy for adult patients. (rti.org)
  • 8 One concern over these substantial out-of-pocket contributions is patients not adhering to necessary medications (i.e., they may not fill prescriptions, or they might skip doses). (cmaj.ca)
  • They observed that the calls increased estimated medication adherence two percent beyond the compliance of patients receiving usual care. (thaindian.com)
  • His team also hope to conduct a similar study on patients with cardiovascular disease, reminding them to refill three different medications. (thaindian.com)
  • A multilevel intervention targeted towards lupus clinic providers, staff, and patients to improve medication adherence in lupus patients will be tested to assess its feasibility and acceptability. (clinicaltrials.gov)
  • Why would patients skip their medications, even after a life-threatening event? (acpinternist.org)
  • But it's still amazing how low medication adherence is for patients who really need to take medications, like patients who have had heart attacks," he said. (acpinternist.org)
  • Patients want to avoid a negative reaction from their doctor, and so the system is designed to encourage patients to conceal their true medication- taking behavior, she said. (acpinternist.org)
  • The most successful strategies to improve patients' adherence is to utilize the principle of patient-centered collaborative care and effective communication. (scirp.org)
  • Interventions to improve adherence include providing reinforcement for patients' efforts to change, providing feedback on progress, tailoring education to patients' needs and circumstances and follow-up. (scirp.org)
  • This group of patients will require repeated, and prolonged oral corticosteroid (OCS) treatment and this predisposed them to a higher risk of medication side effects. (scirp.org)
  • However, the majority of non-adherence is intended, as patients make conscious decisions based on perceptions of the burden of illness and medical therapy. (scirp.org)
  • People who are depressed are less likely to adhere to medications for their chronic health problems than patients who are not depressed, putting them at increased risk of poor health, according to a new RAND Corporation study. (medindia.net)
  • Researchers found that depressed patients across a wide array of chronic illnesses such as diabetes and heart disease had 76 percent greater odds of being non-adherent with their medications compared to patients who were not depressed. (medindia.net)
  • The study is the largest systematic review to date to look at the role that depression plays in medication adherence among patients in the United States. (medindia.net)
  • These findings provide the best evidence to date that depression is an important risk factor that may influence whether patients adhere to their medications," said Dr. Walid F. Gellad, the study's senior author and a natural scientist at RAND, a nonprofit research organization. (medindia.net)
  • Doctors and other providers should periodically ask patients with depression about medication adherence. (medindia.net)
  • The study is the first to review the association between depression and medication adherence for patients with high blood pressure and high cholesterol. (medindia.net)
  • That consistency also suggests that lessons learned about how to improve medication adherence among depressed patients with one disease may be applied to other chronic conditions. (medindia.net)
  • Researchers say that depression is just one barrier to getting patients to follow medication recommendations. (medindia.net)
  • The purpose of this study was to examine adherence among patients newly treated for hypertension to identify points of divergence and opportunities for early intervention. (healthpartners.com)
  • Efforts to reduce nonadherence to prescription medications among older U.S. adults should consider the role of pharmacy closures, especially among patients at highest risk," the study authors suggest. (uspharmacist.com)
  • Researchers tracked the difference in monthly adherence, measured as the proportion of days covered, during 12-month baseline and follow-up periods among patients using a pharmacy that subsequently closed (closure cohort) compared with their counterparts (control cohort). (uspharmacist.com)
  • The study authors point out that one of the barriers to good medication adherence is pharmacy accessibility, explaining, "The geographic accessibility of pharmacies varies substantially across communities in the United States, and pharmacy closures may decrease pharmacy access and thereby limit patients' ability to fill and adhere to prescribed medications. (uspharmacist.com)
  • Value-based insurance design copayment reductions sustained medication adherence 2 years into policy implementation and were most effective in patients with poor adherence before policy implementation. (ajmc.com)
  • The present article considered cardiovascular patients' adherence to physicians' medication recommendations. (rwjf.org)
  • Strategies to engage and incentivize patients have been shown to improve medication adherence and decrease the incidence of major adverse cardiovascular events. (businesswire.com)
  • It is vital that we promote patient engagement and incentivize patients and other key stakeholders to effectively improve medication adherence. (businesswire.com)
  • Robert Temple MD, Deputy Center Director for Clinical Science, CDER, FDA, noted that, "This Advisory Board represents a unique opportunity to explore methods of improving medication adherence and persistence with life-saving treatments of largely asymptomatic conditions, such as hypertension and/or hyperlipidemia, where a majority of patients across all ages and demographics stop therapy within a year or so. (businesswire.com)
  • MediMergent & FDA convened an Advisory Board to oversee a program on improving medication adherence/persistence among patients with chronic diseases. (businesswire.com)
  • Aetna manages and monitors these eight conditions closely because they have the highest prescription volume and are also known to have severe side effects, causing patients to no longer take their medication as prescribed. (webwire.com)
  • The entire care management team is personally vested in ensuring our patients have what they need to stay on their medications and stay healthy. (webwire.com)
  • The result was that Aetna Specialty Pharmacy showed significantly higher use and refills with an adherence ratio of 91 percent vs. 85.7 percent for patients who filled their medication elsewhere. (webwire.com)
  • and providing drug information and medication adherence tools to patients via patient portals. (healthdatamanagement.com)
  • 1 Studies of patients with asthma, 2 diabetes, 3 cystic fibrosis 4 and heart disease 5 have all demonstrated that patients with lower medication adherence are more likely to require emergency room visits or hospitalizations than those with better adherence. (lexology.com)
  • Companies are offering consumer coupons for medications, real-time cost information (so patients can better shop for the lowest cost provider), and pharmaceutical discount and rebate cards. (lexology.com)
  • Methods: Patients with ischemic stroke or TIA discharged from 106 hospitals participating in the American Heart Association Get With The Guidelines-Stroke program were surveyed to determine their use of warfarin, antiplatelet, antihypertensive, lipid-lowering, and diabetes medications from discharge to 12 months. (rti.org)
  • Conclusions: Although up to one-third of stroke patients discontinued one or more secondary prevention medications within 1 year of hospital discharge, self-discontinuation of these medications is uncommon. (rti.org)
  • Adherence is defined as the extent to which patients will follow the directions they are given for prescribed treatments. (pharmacytimes.com)
  • It found a small (2 percentage point) but statistically significant improvement over 18 months in the intent-to-treat analysis, and an increase of 6 percentage points in adherence and decreased asthma symptoms among patients who took the calls. (ajmc.com)
  • It further determined that hypertension patients who were not on medications to control their condition had even higher mortality risks. (uspharmacist.com)
  • Furthermore, they point out that among the hypertension patients who were not taking medication, 11 out 140 (7.9%) died from coronavirus compared with 23 out of 710 (3.2%) of those who were taking medication-2.17-fold increased risk after adjusting for confounding factors. (uspharmacist.com)
  • Patients are more likely to take chronic medications when they meet monthly with pharmacists to coordinate medication schedules and treatments, according to a Virginia Commonwealth University study. (brightsurf.com)
  • The study, published in the November/December issue of The Journal of the American Pharmacists Association ( JAPhA® ), described how patient adherence and persistence with chronic medications can be improved by allowing patients to meet with a pharmacist to solve medication-related problems and synchronize prescriptions to be dispensed on a single day of the month. (brightsurf.com)
  • This research shows appointment-based medication synchronization to be one of the most effective interventions available to help patients take their medications," said lead study author David A. Holdford, Ph.D., professor and vice-chair of graduate education at the Virginia Commonwealth University School of Pharmacy. (brightsurf.com)
  • Reasons why patients do not take their medications are complex and varied. (brightsurf.com)
  • Because of the range of factors in medication nonadherence, the most effective interventions typically are individualized to the unique needs of patients. (brightsurf.com)
  • Known by various names, the programs involve pharmacists working with patients to synchronize their chronic refill medications to come due on a single day of the month. (brightsurf.com)
  • By streamlining the refill process and by working together to resolve medication-related issues, this study provides evidence that patients have better adherence with their prescribed medications. (brightsurf.com)
  • Oncology pharmacy practitioners around the globe are fighting to provide cancer patients high quality cancer care with increasingly limited and sometimes restricted personal protective equipment supply as well as impaired access to essential anticancer medication, according to University of California, Irvine-led study. (brightsurf.com)
  • With less than half of heart patients taking their prescriptions as directed, increasing medication adherence is critical to improving public health, based on a recent review published in the Journal of the American College of Cardiology . (cardiosmart.org)
  • Each year, heart disease accounts for roughly 125,000 preventable deaths-many of which result from patients failing to take life-saving medication. (cardiosmart.org)
  • In fact, studies suggest that patients with poor medication adherence have up to four times greater risk of stroke and death than those who take medications as prescribed. (cardiosmart.org)
  • To help bring this issue to light, a team of experts summarized key challenges and opportunities related to medication adherence in patients with heart disease. (cardiosmart.org)
  • Patients with lower income and education, many of which are minorities, are less likely to take prescribed medication as those with higher socioeconomic status. (cardiosmart.org)
  • The third factor impacting medication adherence, according to authors, is the health care system and the type of care patients receive. (cardiosmart.org)
  • However, education and support are often lacking in today's health care system, leaving many patients unaware of the importance of medication adherence. (cardiosmart.org)
  • Together, these organizations have come up with a number of strategies to improve medication adherence, such as making generic drugs more readily available, increasing health literacy among patients and addressing health disparities in minorities and low-income populations. (cardiosmart.org)
  • Authors also note that experts are working towards a "polypill"-multiple heart medications in a single pill-to make it easier for patients to take essential medications. (cardiosmart.org)
  • How can patients help improve medication adherence on their own? (cardiosmart.org)
  • Patients can help improve adherence by understanding how their medications work, taking their medications at the same time(s) each day, using notes or alarms as reminders to take medications, and allowing family or friends to help support them. (cardiosmart.org)
  • Our focus will be to close gaps in care to improve medication adherence and empower patients to self-manage their medical conditions. (drugstorenews.com)
  • In reality, however, many patients experience difficulty with medication taking resulting in suboptimal adherence. (wiley.com)
  • Janssen Healthcare Innovation, a pharmaceutical unit of Johnson & Johnson, has launched a mobile messaging platform to enable patients to increase medication adherence. (eweek.com)
  • Janssen Healthcare Innovation has launched Care4Today, a messaging platform for aiding patients with their medication routines. (eweek.com)
  • To investigate the effect of a range of demographic and psychosocial variables on medication adherence in chronic obstructive pulmonary disease (COPD) patients managed in a secondary care setting. (nih.gov)
  • Low adherence with medications was present in 29.5 % of the patients. (nih.gov)
  • Adherence in COPD patients is influenced more by patients' perception of their health and medication effectiveness, the presence of depressed mood and co-morbid illness than by demographic factors or disease severity. (nih.gov)
  • At the time, I reported that initial findings showed that patients of pharmacists who used the measures to solicit feedback "were significantly more likely to take their medications at the levels that would be likely to result in clinical impact than the patients who saw a pharmacists who did not use the scales…for hypertensive and hyperlipidemia drugs especially. (scottdmiller.com)
  • After controlling for age, gender, and other individual and control conditions (including measures of interactions with pharmacies), patients in the feedback condition increased their rate of "percent of days covered"-that is, taking the medication as prescribed -significantly (average 11%, a result considered "impressive" when compared to other, traditional efforts aimed at improving compliance). (scottdmiller.com)
  • This FOA will support research to test interventions with the potential to significantly improve medication adherence in patients with chronic health conditions in settings where primary health care is delivered (including, dental and eye care settings). (nih.gov)
  • In addition, applications should include a health outcome or biomarker (e.g., blood pressure, viral load in HIV patients, cholesterol levels, HbA1c) that is expected to be affected by changes in the targeted adherence behavior. (nih.gov)
  • As described in the article, CVS Caremark has developed the Proactive Pharmacy Care approach, which engages patients earlier with education and personalized outreach to improve adherence. (drugstorenews.com)
  • The incidence of diabetes is increasing, and for many of the patients who are affected, insulin is a necessary and lifesaving medication. (diabetesincontrol.com)
  • It's important for patients to always carry a list of their medications with them for every medical visit. (televox.com)
  • 8 In addition to specific techniques, the regular day-to-day clinical encounters psychiatrists and patients have can do much to augment adherence. (psychiatrictimes.com)
  • OBJECTIVE: To determine medication use and adherence among community-dwelling patients with heart failure (HF). (ebscohost.com)
  • Patients with a documented medication allergy were excluded from eligibility for medication use within that medication class. (ebscohost.com)
  • After exclusion of patients with missing dosage information, the proportion of those with poor adherence was 19% (27/140), 19% (28/144), and 13% (16/121) for β-blockers, anglotensin-converting enzyme inhibitors or anglotensin II receptor blockers, and statins, respectively. (ebscohost.com)
  • CONCLUSION: Community-dwelling patients with HF take a large number of medications. (ebscohost.com)
  • Medication adherence was suboptimal in many patients, often because of cost. (ebscohost.com)
  • Nonlinear adherence patterns for 141 patients were generated, clustered into seven adherence types, categorized into acceptable (for example, high or improving) versus unacceptable (for example, low or deteriorating) adherence, and related to adherence self-efficacy and blood pressure. (dovepress.com)
  • Mean adherence self-efficacy was higher across all time points for patients with acceptable adherence in the intervention group than for other patients. (dovepress.com)
  • Adaptive statistical modeling methods can provide novel insights into patients' medication-taking behavior, which can inform development of innovative approaches for tailored interventions to improve medication adherence. (dovepress.com)
  • Studies show that effective communication between patients and physicians enables higher medication adherence rates. (acpm.org)
  • Poor medical adherence is widespread and widely recognized but it is still difficult to determine which patients will or will not take their medication as directed. (acpm.org)
  • In addition patient/provider concordance - the extent to which patients and their providers agree on whether, when, and how a medication should be taken - comes into play. (acpm.org)
  • The cost of medications may play a role in whether patients do or do not take their medication with increased cost sharing leading to poorer adherence with prescription drugs. (dovepress.com)
  • Anywhere from one-third to one-half of patients in the U.S. do not take their medications as instructed. (mobihealthnews.com)
  • Attention to adherence is especially important in the current economic climate where we are seeing an uptick in patients foregoing medications by not filling or refilling prescriptions and hoarding medications due to high costs [8]. (acpm.org)
  • A recent meta-analysis of physician communication and patient adherence to treatment found that there is a 19% higher risk of nonadherence among patients whose physician communicates poorly than among patients whose physician communicates well [1]. (acpm.org)
  • However, Cramer's recent (2008) review of terminology found no authoritative support for the assumption that adherence is a less derogatory term than compliance or whether it is preferred by patients [10]. (acpm.org)
  • When patients don't practice good medication adherence, it can cause a range of complications. (anthem.com)
  • It can increase pharmacy efficiency in order to improve patients' adherence to their medication. (medgadget.com)
  • Helping patients, parents, and caregivers understand asthma and talk with their health care providers about medication management can help to lower asthma health care costs and unnecessary emergencies. (nclnet.org)
  • Background: Hospital quality core measures assess cardiac medications prescribed at discharge in patients post myocardial infarction (MI) since these medications decrease the risk for future adverse events. (ahajournals.org)
  • Methods: Using prescription drug claims for 391 residents of Olmsted County, MN enrolled in an employer-sponsored health plan with MI (1/97- 6/06), we measured adherence to ACE-inhibitors, beta-blockers, and statins among patients discharged on these medications and evaluated demographic, clinical, and health services factors associated with adherence. (ahajournals.org)
  • Results: At 6-months, adherence to statins was 94%, but by 3 years only 42% of patients continued taking statins. (ahajournals.org)
  • Patients with chronic conditions often become overwhelmed by the fact that they must take medication for the rest of their lives. (lacare.org)
  • This doesn't count self-prescribed over the counter and herbal remedy medications that many patients choose to take. (lacare.org)
  • With increasing demands on physician time and increasing patients with multiple chronic conditions, the patient education around the medication regimen can be left to other health care professionals in disease management, case management, and pharmacy. (lacare.org)
  • Despite the importance of medication adherence, it is shockingly low in the U.S., with nearly 3 out 4 patients being non-adherent. (lark.com)
  • 49%, or nearly one out of two, patients forgot to take at least one of their prescription medications. (lark.com)
  • 31%, or nearly one out of three, patients neglected to fill at least one of their prescribed medications. (lark.com)
  • 11%, or nearly one in nine, patients took an over-the-counter medication instead of their prescription medication. (lark.com)
  • Reminding patients to take their medications: when and how much. (lark.com)
  • Educating patients on the importance of medication adherence. (lark.com)
  • Tracking patient adherence so patients can see how well they have been following doctor's orders. (lark.com)
  • With nearly one in five Medicare patients returning to the hospital within 30 days, many institutions could improve their readmission rates through improvement in their patients' adherence to treatments recommended at discharge. (managedcaremag.com)
  • For all 4 conditions, hospitalization rates were significantly lower for patients with high medication adherence. (ovid.com)
  • Long-acting injectable (depot) antipsychotic preparations are an alternative to oral medication in the treatment of patients with schizophrenia who have experienced recurrent relapse related to nonadherence. (empr.com)
  • 1 Rather than taking oral medication once or twice a day at home, patients on a depot regimen typically receive an injection once or twice a month in a physician's office, clinic, or other outpatient setting. (empr.com)
  • By preventing covert nonadherence, 2 this type of regimen helps to ensure that patients are getting the medication at the prescribed dosage and frequency. (empr.com)
  • Patients' average monthly adherence to their COPD maintenance medications was low, reaching only 57 percent in the month following their first prescription fill, and decreasing to 25 percent within six months. (umaryland.edu)
  • Early intervention is key to starting the conversation between providers and patients about other factors that might be impeding patients' adherence to their COPD medications, and to ensure that patients are receiving the best treatments to address all of their medical conditions. (umaryland.edu)
  • To simultaneously examine effects of variant glutamate decarboxylase-like protein 1 ( GADL1 ) and medication adherence on response to lithium maintenance treatment in Han Chinese patients with bipolar I (BPI) disorder. (cambridge.org)
  • Frequencies of manic and depressive episodes between carriers and non-carriers of the effective GADL1 rs17026688 T allele during the cumulative periods of off-lithium, poor adherence to lithium treatment and good adherence to lithium treatment were compared in Han Chinese patients with BPI disorder ( n = 215). (cambridge.org)
  • GADL1 rs17026688 and medication adherence jointly predict response to lithium maintenance treatment in Han Chinese BPI patients. (cambridge.org)
  • Evidence continues to mount that heightened levels of medication adherence correlate to reduced hospitalizations and emergency room visits, especially among Medicare patients. (hin.com)
  • A CVS Caremark Corporation study published in "Health Affairs" in 2011 found that patients who take medications as doctors direct may save the healthcare system as much as $7,800 per patient annually. (hin.com)
  • To enable pharmacies to increase script growth, improve patient adherence, drive patient engagement, and deliver enhanced patient care, Omnicell provides tools to coordinate automated inbound and outbound messages to patients. (omnicell.com)
  • Buying medicine by mail may encourage patients to stick to their doctor-prescribed medication regimen, new research suggests. (ucla.edu)
  • In a first-of-its-kind study, researchers from UCLA and Kaiser Permanente's Division of Research in Oakland, Calif., found that patients with diabetes, high blood pressure and high cholesterol who ordered their medications by mail were more likely to take them as prescribed by their physicians than patients who obtained medications from a local pharmacy. (ucla.edu)
  • The researchers found that 84.7 percent of patients who received their medications by mail at least two-thirds of the time stuck to their physician-prescribed regimen, compared with 76.9 percent of those who picked up their medications at traditional "brick-and-mortar" Kaiser Permanente pharmacies. (ucla.edu)
  • Before adjusting for other variables, white patients were more likely than Hispanics to obtain medications by mail (61.0 percent vs. 37.1 percent) and to be in the highest socioeconomic status quartile (27.5 percent vs. 17.8 percent). (ucla.edu)
  • Still, the research suggests that increased mail-order use to obtain medications could improve patients' adherence. (ucla.edu)
  • https://www.thecommunityguide.org/resources/one-pager-text-messaging-interventions-medication-adherence-among-patients-chronic. (thecommunityguide.org)
  • The study, currently on line in the February issue of the journal Annals of Pharmacotherapy , points to the need for pharmacists and other health care providers to assess reasons why some patients don't adhere to their medication plans, and to provide counseling opportunities to help them. (healthcanal.com)
  • Therefore, knowing which methods diabetes patients and caregivers report help for improving adherence can provides valuable knowledge to make counseling opportunities more effective. (healthcanal.com)
  • Nearly half of this number took only oral medications, and the vast majority (86.8%) of the patients with diabetes reported taking medications two or more times per day. (healthcanal.com)
  • Their goal was to determine methods that patients and their caregivers have used to improve medication adherence, assess the perceived helpfulness of such methods and identify motivating factors or medication characteristics that might help patients stick to their regimen. (healthcanal.com)
  • The three most motivating factors that patients identified were their knowledge that diabetes medications work effectively to lower blood glucose, understanding how they could manage side effects of their medications and a better understanding of the drugs' benefits. (healthcanal.com)
  • To empower patients to overcome medication adherence barriers, we conclude that pharmacists are well-positioned to provide more proactive and thorough counseling sessions to include education of how diabetes drugs work and why they are so important," said Morello. (healthcanal.com)
  • Pharmacists should incorporate an assessment of individual variances into their counseling sessions…and patients should know that their pharmacist is an excellent resource for medication education and advice. (healthcanal.com)
  • 2003 estimates from the World Health Organization indicated that only about 50% of patients with chronic diseases living in developed countries follow treatment recommendations with particularly low rates of adherence to therapies for asthma, diabetes, and hypertension. (wikipedia.org)
  • Both patient and health-care provider affect compliance, and a positive physician-patient relationship is the most important factor in improving compliance, As of 2003, US health care professionals more commonly used the term "adherence" to a regimen rather than "compliance", because it has been thought to reflect better the diverse reasons for patients not following treatment directions in part or in full. (wikipedia.org)
  • Regimen simplification advances patient care by way of better adherence, lower resistance development, higher persistency leading to long term success, less hospitalization and lower cost of care. (newsblaze.com)
  • Demographic factors such as ethnic minority, low socioeconomic status, and low levels of education have been associated with lower regimen adherence and greater morbidity. (pharmacytimes.com)
  • Studies have shown that low levels of conflict, high levels of cohesion and organization, and good communication patterns are associated with better regimen adherence. (pharmacytimes.com)
  • Greater levels of social support, for example, from spouses and other family members, are typically associated with better regimen adherence. (pharmacytimes.com)
  • 8 Adherence allows for the patient andprescriber to work together to set goals, plan treatment, and start the regimen. (pharmacytimes.com)
  • Serious threats to your health can occur when your medication regimen is skipped, modified, or ignored. (cardiosmart.org)
  • The authors of this study hypothesize that insulin cost can affect a patient's likelihood of adherence to a prescribed regimen. (diabetesincontrol.com)
  • For instance, if a small amount of time was to taken to ensure a prescribed medication was formulary preferred for the patient's insurance or if an assistance / discount program is available for that medication, then it may go a long way toward increasing a patient's compliance with a prescribed regimen. (diabetesincontrol.com)
  • Reasons for following the proper medication regimen include: unpleasant side effects, confusion, forgetfulness, language barriers, and feeling "too good" to need medicine. (mobihealthnews.com)
  • Those with chronic conditions like diabetes and high blood pressure are among the groups that are less likely to follow their medication regimen. (mobihealthnews.com)
  • Finally, often there is a complicated multiple medication regimen that requires timing and coordination with other therapies and daily activities. (lacare.org)
  • Lark health coach can assist with adherence to the medication regimen in a number of ways. (lark.com)
  • As of 2007, concordance has been used to refer specifically to patient adherence to a treatment regimen which the physician sets up collaboratively with the patient, to differentiate it from adherence to a physician-only prescribed treatment regimen. (wikipedia.org)
  • Better adherence rates did not differ significantly by disease for those in PCMHs. (medscape.com)
  • Appropriate health beliefs, such as perceived seriousness of the condition, vulnerability to complications, and the efficacy of treatment, can predict better adherence. (pharmacytimes.com)
  • When clinical progress is not seen, counseling an adolescent patient about the need for the medication, getting the patient to "buy-in" to the recommended medication(s), and working on the therapeutic alliance will usually result in better adherence than simply switching to another medication, increasing the dosage, or adding another medication. (psychiatrictimes.com)
  • What does matter, he said, is each patient's sensitivity, speed of absorption, and any other drugs or chemicals interacting with their brain alongside the ADHD medication. (additudemag.com)
  • He defined adherence as "the patient's active participation in planning care and treatment and is based upon shared decision making between patient and provider. (newsblaze.com)
  • The influence of other significant people in the patient's life and the influence of the health care system and health policy should be included to achieve a full conceptual model of medication adherence behavior. (healio.com)
  • Adherence can be evaluated by patient's reporting, dose counter, electronic metered dose inhaler but using pharmacy records is a more cost-effective method. (scirp.org)
  • The goal of this framework was not only to help design scientifically proven interventions, but also to reduce the time and cost involved with implementing these strategies in a health care setting.4 Often health care providers will use the term "compliance" instead of "adherence" to describe a patient's ability to use a medication as prescribed. (pharmacytimes.com)
  • Antibiotics are among the most commonly prescribed medications, but in determining the most appropriate prescription for a patient, doctors and pharmacists often rely on inaccurate records of the patient's antibiotic allergies. (brightsurf.com)
  • Specifically, the impact of poor adherence from the patient's, health-care professional and health-care system perspective is detailed to highlight the significance of this issue. (wiley.com)
  • PGx analysis provides important clinical insights into specific genes that may affect how a patient's body interacts with certain medications. (yahoo.com)
  • Inherited variances in these genes can affect how a patient's body metabolizes, transports or responds to medication. (yahoo.com)
  • These findings certainly highlight the need for further, high quality research in the area of medication cost, but also illustrate that more emphasis should be placed on the patient's ability to afford a medication. (diabetesincontrol.com)
  • Medication compliance (sometimes referred to as adherence) is generally defined as following a medication treatment plan developed by a patient's health providers, filling prescriptions and taking medicines as prescribed. (npcnow.org)
  • The patient's consent on treatment choice is vital to improve compliance with medications. (psychiatrictimes.com)
  • Adherence is the extent to which a patient's behavior coincides with medical or health advice. (acpm.org)
  • Diabetes is a complex disorder, typically requiring multiple medications to achieve control of the patient's blood sugar levels. (healthcanal.com)
  • Medication adherence -taking medications as instructed at the right time of day, frequency and dosage - is a significant factor for a patient's successful management of their disease. (healthcanal.com)
  • Conversely, non-adherence involved not only a patient's forgetfulness, but also such factors as inability to afford a prescription or adverse reactions to a drug such as weight gain or nausea. (healthcanal.com)
  • She added that while seemingly simple tools such as using a 7-day pill box may improve a patient's adherence, improvement is often very patient-specific. (healthcanal.com)
  • However, nonadherence is influenced by many other factors unrelated to cost, such as number of pills to be taken (eg, 1 daily medication versus combination medications) or the burden of filling prescriptions (eg, increasing the number of doses per prescription, delivering prescriptions by mail). (medscape.com)
  • Doctors often attribute nonadherence to unintentional factors, such as forgetfulness or confusion, but surveys suggest that only about 30% of nonadherent behaviors fall into this camp, said medication adherence expert Marie T. Brown, MD, FACP, an associate professor at Rush Medical College and Rush University Medical Center in Chicago. (acpinternist.org)
  • The New York Times has described American's nonadherence to prescribed medications as an "out-of-control epidemic that costs more and affects more people than any disease Americans currently worry about. (lexology.com)
  • The economic implications of medication nonadherence have driven the market to look for software/hardware tech-enabled solutions to address this complicated problem. (lexology.com)
  • The reasons for medication nonadherence (and therefore how to address the problem) are multifactorial and complex. (lexology.com)
  • 1 Medication nonadherence is common and a major concern in the treatment of schizophrenia. (ncqa.org)
  • When it comes to nonadherence of prescription medications, it is often senior citizens who are the subject of the discussion, but the findings of the recent CVS Caremark study point to those under the age of 45. (drugstorenews.com)
  • Limited adherence (nonadherence, nonconcordance) can be a major sticking point in the management of chronic illnesses-both psychiatric and medical. (psychiatrictimes.com)
  • Nonadherence (intentional or unintentional) leads to overuse or underuse of prescription medications. (acpm.org)
  • Given the possible adverse consequences of nonadherence, interventions to improve medication-taking behavior are encouraged although not consistently successful. (dovepress.com)
  • Medication nonadherence costs billions. (managedcaremag.com)
  • What is medication nonadherence? (managedcaremag.com)
  • Lower than expected medication adherence and suboptimal treatment results. (additudemag.com)
  • Suboptimal adherence predisposes to drug resistance. (newsblaze.com)
  • 3 Although several factors may influence suboptimal adherence to medication, previous research suggests that cost may be the most important factor amenable to policy intervention. (cmaj.ca)
  • 6 Poor medication adherence, suboptimal prescribing, and medication errors have been suggested to result in an estimated $100 billion to $290 billion in avoidable health care costs each year, 7 and lost revenues to the pharmaceutical industry in 2015 alone in excess of $600 billion. (lexology.com)
  • Conclusion: In this population-based cohort, adherence to evidence-based therapy after MI is suboptimal. (ahajournals.org)
  • Despite the fact that medication adherence has been extensively described in the literature over the last several decades, a quote by Becker and Maiman from over 35 years ago best captures the current state of our understanding: "Patient compliance[sic adherence] has become the best documented, but least understood, health behavior. (nih.gov)
  • The International Association of Compliance is conducting a study to determine the role that taste and palatability play in medication adherence for children. (prweb.com)
  • A current study conducted by the International Association of Medicinal Compliance (IAMC) examines the role of taste masking agents on the improvement of medication adherence in children. (prweb.com)
  • Taking a comprehensive view on compliance in children, the survey (found at http://www.takeyourmedicine.org ) addresses topics such as commonly prescribed medications, issues associated with compliance and taste, and solutions to improve palatability, such as the use of flavoring agents. (prweb.com)
  • By determining the visibility and level of awareness for solutions that improve compliance in children by combating bitter tasting and pungent-smelling medications, the IAMC will be able to cater its future educational programs to meet the needs of the healthcare community. (prweb.com)
  • These include not filling prescription, taking incorrect dose, taking medication at wrong times, increasing/decreasing frequency of doses, stopping treatment too soon, failure to follow doctors instructions, delay in seeking follow-up, interruptions in periods for long duration studies, and white coat compliance (increase in compliance close to doctor follow-up visits). (tcs.com)
  • Although a variety of terms have been used to describe these self-management or self-care activities (e.g., adherence, compliance, concordance, fidelity, persistence), compliance is the default medical term used in the literature (MEDLINE) to describe medication dosing ( 2 ). (diabetesjournals.org)
  • Analytical Chemistry for Assessing Medication Adherence introduces the concept of medication adherence/compliance and reports international perspectives on medication adherence while highlighting its importance. (rti.org)
  • It showed that those using Aetna Specialty Pharmacy to get their medications had better refill rates (a common measure of compliance) than those using a retail pharmacy or different specialty carrier. (webwire.com)
  • Their results underscored the importance of compliance with medications that lower blood pressure. (uspharmacist.com)
  • The underlying philosophical attributes of adherence and the interchangeable concepts of compliance and concordance are explored, with the implications of the meanings attributed to these concepts for nursing practice and research considered. (wiley.com)
  • More than 1/3 of medication-related hospital admissions are linked to poor compliance. (npcnow.org)
  • Steps some employers are taking include targeted education and medication reminder programs, lowering co-payments or reducing out-of-pocket costs, and offering employee incentives to reward compliance. (npcnow.org)
  • Studies supported or conducted by the National Pharmaceutical Council in the past have examined the economic consequences related to medication non-compliance, as well as efforts the pharmaceutical industry has taken to address this issue. (npcnow.org)
  • Using the words adherence or compliance is often confusing and only relevant to understanding the literature about the subject. (acpm.org)
  • The term adherence is often used in place of compliance as it is viewed as a nonjudgmental statement of fact rather than of blame of the patient, prescriber, or treatment. (acpm.org)
  • 2011 Benchmarks in Improving Medication Adherence provides actionable information from 162 healthcare organizations on their efforts to improve medication adherence and compliance in their populations. (hin.com)
  • In medicine, patient compliance (also adherence, capacitance) describes the degree to which a patient correctly follows medical advice. (wikipedia.org)
  • 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. (wikipedia.org)
  • Both patient and health-care provider affect compliance, and a positive physician-patient relationship is the most important factor in improving compliance, The cost of prescription medication also plays a major role. (wikipedia.org)
  • Efforts to improve compliance have been aimed at simplifying medication packaging, providing effective medication reminders, improving patient education, and limiting the number of medications prescribed simultaneously. (wikipedia.org)
  • The Medical Subject Headings of the United States National Library of Medicine defines various terms with the words adherence and compliance. (wikipedia.org)
  • Patient Compliance and Medication Adherence are distinguished under the MeSH tree of Treatment Adherence and Compliance. (wikipedia.org)
  • Applications may target medication adherence in the context of treatment for a single illness or chronic condition (e.g., hypertension) or multiple comorbid conditions (e.g., hypertension and COPD). (siue.edu)
  • Likewise non-adherence to antiretroviral therapy (ART) in treatment of HIV is common to all groups of individuals on treatment and is comparable to that in other chronic diseases like diabetes, hypertension and heart disease. (newsblaze.com)
  • A study published in JAMA Internal Medicine today demonstrated that a smartphone app could lead to small improvements in self-reported medication adherence among participants with poorly controlled hypertension. (mobihealthnews.com)
  • As a recent example, Healthy People 2020 goals include increasing the percentage of adults with hypertension who take their blood pressure-lowering medications as prescribed from 63.2% (2005 to 2008) to 69.5% by 2020. (acpinternist.org)
  • The purpose of this review is to discuss recent studies that have described approaches or interventions to improve hypertension medication adherence and to suggest how providers can integrate evidenced-based approaches into routine clinical care to improve medication adherence and blood pressure control. (springer.com)
  • The objective of this study was to evaluate the impact of medication adherence on healthcare utilization and cost for 4 chronic conditions that are major drivers of drug spending: diabetes, hypertension, hypercholesterolemia, and congestive heart failure. (ovid.com)
  • For diabetes, hypercholesterolemia, and hypertension, cost offsets were observed for all-cause medical costs at high levels of medication adherence. (ovid.com)
  • The global Medication Adherence Packaging Systems market will reach xxx Million USD in 2017 and CAGR xx% 2018-2023. (medgadget.com)
  • The 2009 study recommended further research on the impact of medication adherence on lost productivity. (ohsonline.com)
  • This systematic review was undertaken 1 ) to assess the extent of poor adherence and persistence with OHAs and insulin and 2 ) to link adherence rates with glycemic control. (diabetesjournals.org)
  • A systematic literature search was conducted to identify articles containing information on the rate of adherence or persistence with OHAs or insulin. (diabetesjournals.org)
  • Medication adherence is a multifaceted issue and consists of three components: initiation, implementation, and persistence. (frontiersin.org)
  • The ongoing growth in the older adult population necessitates greater attention to supporting adherence and persistence to medication, as it is the most common approach to managing chronic illness in older adults. (healio.com)
  • Medication refill data are objective but really only measure the persistence component of adherence-whether a person continues to take a prescribed medication-and miss the execution facet, which is how accurately the patient follows the prescribed dosing schedule. (healio.com)
  • ROCKVILLE, Md.--( BUSINESS WIRE )--Healthcare data collection and analytics company MediMergent, LLC and the Center for Drug Evaluation and Research (CDER) of the US Food and Drug Administration (FDA) recently convened an Advisory Board to address strategies to combat the public health crisis related to medication non-adherence and persistence. (businesswire.com)
  • Poor medication adherence/persistence results in up to $300 billion per year of added healthcare costs, a wastage of approximately 10% of the total annual healthcare budget. (businesswire.com)
  • The agenda focused on alignment of stakeholder incentives and implementation plans for sustainable strategies to improve medication non-adherence and persistence. (businesswire.com)
  • This new initiative to fight the medication non-adherence/persistence crisis represents the first effort for the FDA to engage with multiple stakeholders focused on a public health issue unrelated to regulatory approval or post-approval surveillance of a specific medication. (businesswire.com)
  • Norman Stockbridge, MD, PhD, Director, Division of Cardiovascular and Renal Products, CDER, FDA stated, "The lack of medication adherence and persistence is a public health crisis that should be remediable. (businesswire.com)
  • Persistence was defined as continuation of all secondary preventive medications prescribed at hospital discharge, and adherence as continuation of prescribed medications except those stopped according to health care provider instructions. (rti.org)
  • Independent predictors of 1-year medication persistence included fewer medications prescribed at discharge, having an adequate income, having an appointment with a primary care provider, and greater understanding of why medications were prescribed and their side effects. (rti.org)
  • Independent predictors of adherence were similar to those for persistence. (rti.org)
  • Several potentially modifiable patient, provider, and system-level factors associated with persistence and adherence may be targets for future interventions. (rti.org)
  • Social and demographic variables, co-morbidity, self-reported drug adherence (Morisky scale), Hospital Anxiety and Depression (HAD) scale, COPD knowledge, Health Belief Model (HBM) and self-efficacy scales were determined for each patient. (nih.gov)
  • The FICO Medication Adherence Score is a HIPAA-compliant solution that helps improve drug adherence, boosting therapy effectiveness and reducing health care costs. (fico.com)
  • While promising, these results should be interpreted with caution given the short duration of trials and reliance on self-reported medication adherence measures. (acc.org)
  • We want to better understand how this particular population would react to commitment devices designed to increase medication adherence. (clinicaltrials.gov)
  • Future research is greatly needed to identify and translate safe and effective interventions into routine clinical practice to improve adherence. (nih.gov)
  • To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice. (ahajournals.org)
  • Promoting adherence to asthma treatment is an essential aspect of clinical practice. (scirp.org)
  • Evaluating non-adherence can be challenging in clinical practice because there is no standardized method. (scirp.org)
  • Jon Easter joined the UNC Eshelman School of Pharmacy in January 2016 as a Professor of the Practice and Director, Center for Medication Optimization through Practice and Policy (CMOPP). (worldcongress.com)
  • In the effort to help boost medication adherence through healthcare practice, patient awareness and public policy, there is no more committed partner than NACDS and community pharmacy, and we are enthusiastic to be part of the Partnership's launch today," Anderson said. (drugstorenews.com)
  • This paper therefore examines the literature surrounding medication adherence for the purposes of enhancing professional knowledge and practice in this area. (wiley.com)
  • The article presents the conclusion of several reviewed studies of adherence to statin medication in clinical trials and in normal practice. (ebscohost.com)
  • In addition, claims data have many documented limitations, including that prescriptions filled do not measure actual medication used. (medscape.com)
  • She points out that adults with chronic conditions "never fill up to 30% of new prescriptions and persist in taking about 50% of chronic disease medications," which is a major factor in avoidable hospitalizations, disease complications, and death. (medscape.com)
  • A lot of people get prescriptions for medication for ADHD and don't take them on any consistent basis," Brown said. (additudemag.com)
  • We calculated primary adherence and non-adherence rates for all e-prescriptions and for new medication starts and compared the rates across patient and medication characteristics. (springer.com)
  • Previous studies of medication non-adherence failed to capture these prescriptions. (springer.com)
  • Non-adherence includes failing to fill prescriptions, delaying prescription fills, reducing the strength of the dose taken, and reducing the frequency of administration. (pharmacytimes.com)
  • ARLINGTON, Va. - The National Association of Chain Drug Stores has announced its membership in "Prescriptions for a Healthy America: A Partnership for Advancing Medication Adherence. (drugstorenews.com)
  • This can be caused by delays in filling prescriptions, not filling prescriptions, not picking up prescriptions, skipping doses, splitting pills, stopping medication early, and not refilling a prescription. (acpm.org)
  • Adherence was based on the number of prescriptions filled, while the presence of depression was characterized by at least one diagnosis code on at least one inpatient claim or two outpatient claims during the study period. (umaryland.edu)
  • People who received automated reminders were more likely to refill their blood pressure and cholesterol medications, according to a study published in a special issue of the American Journal of Managed Care . (medicalnewstoday.com)
  • Adherence levels went up among all participants, but they increased by more (1.6-3.7 percentage points) among participants who received the reminders. (medicalnewstoday.com)
  • The interventions used automated phone reminders to increase adherence to cardiovascular disease medications. (ajmc.com)
  • Successful interventions combine diverse strategies that enhance patient access and convenience to medications, offer education and reminders, provide self-monitoring and feedback, engage in mutual problem solving and offer a range of other approaches. (brightsurf.com)
  • Personalize strategies to ensure treatment adherence (eg, texting reminders regarding medication, using e-mail for any questions that arise outside of office visits). (psychiatrictimes.com)
  • Healthcare providers are tinkering with the idea of sending medication reminders via secure text messaging, too. (mobihealthnews.com)
  • Over half of the total spending on prescription drugs in Canada is for medications intended for long-term use, such as drugs to manage cardiovascular risk factors. (cmaj.ca)
  • Background/Aims: Medication non-adherence is a potentially modifiable determinant of cardiovascular disparities. (healthpartners.com)
  • Chicago- When pharmacies close in a community, adherence to cardiovascular medications drops among older adults, according to a new study. (uspharmacist.com)
  • Participants were asked about adherence and had their medical records evaluated for cardiovascular events such as CHD death, myocardial infarction (MI) and stroke over a period of 3.9 years. (rwjf.org)
  • Fred Senatore MD, PhD, FACC, Medical Officer, Division of Cardiovascular and Renal Products, CDER, FDA, stated: "Issues leading to medication non-adherence are embedded in every hierarchical level of the ecological healthcare model. (businesswire.com)
  • Evaluate the utility of 2 electronic medical record (EMR)-linked, automated phone reminder interventions for improving adherence to cardiovascular disease medications. (ajmc.com)
  • Technology-based tools, in conjunction with an EMR, can improve adherence to chronic disease medications and measured cardiovascular disease risk factors. (ajmc.com)
  • PATIENT (Promoting Adherence to Improve Effectiveness of Cardiovasular Disease Therapies) was a pragmatic clinical trial designed to improve adherence to cardiovascular disease medications using a low-cost, electronic medical record linked telephone reminder intervention. (ajmc.com)
  • For instance, if you have cardiovascular disease and don't keep your blood pressure in check with the prescribed medication dosages, it can lead to heart attack, stroke or kidney failure. (anthem.com)
  • Vollmer's study took place in 2010-2011 and enrolled 21,752 Kaiser Permanente members in Oregon, Washington, Georgia and Hawaii who had diabetes or heart disease and were taking medications to reduce the risk of a stroke or heart attack. (medicalnewstoday.com)
  • According to the report, Diabetes Dilemma: U.S. Trends in Diabetes Medication Use , people with diabetes who were nonadherent to their oral diabetes drugs had 1.3 times higher medical costs and 4 percent higher total healthcare costs compared to those who were adherent, spending an average of $11,176 vs. $10,683 in 2016. (prnewswire.com)
  • Continued efforts to improve medication adherence, particularly for diabetes, should be a priority for employers seeking to lower cost and improve care. (prnewswire.com)
  • In 2016, nearly 85 percent of people treating diabetes used oral diabetes medications, such as metformin and Januvia™ (sitagliptin), with 69 percent of people using only these medications to treat their condition. (prnewswire.com)
  • A separate analysis shows adherence to oral diabetes medications increased 3.6 percent between 2014 and 2016. (prnewswire.com)
  • In 2016, our research found medication adherence to oral diabetes medications was greatest among commercially insured people age 65 and older at nearly 75 percent, followed by people aged 45-64 at nearly 65 percent, yet there is still room for improvement. (prnewswire.com)
  • People aged 20-44 have the greatest opportunity to improve adherence, with just under half of that population being adherent to their oral diabetes medications in 2016. (prnewswire.com)
  • 90-day supplies of medication are associated with greater adherence: 81 percent of people who received a 90-day supply of oral diabetes medication through Express Scripts Pharmacy SM home delivery, and nearly 68 percent of people who received a 90-day supply at retail, were adherent. (prnewswire.com)
  • More than five percent of the commercially insured Americans, nearly 12 million people, used medication to treat type 1 or type 2 diabetes in 2016, when Express Scripts' prevalence data is extrapolated for the U.S. population. (prnewswire.com)
  • Overall use of antidiabetic medications was greater among older adults: 10.5 percent of commercially insured people aged 45 to 64 years, and 15.2 percent of commercially insured people aged 65 or older, used a diabetes medication in 2016. (prnewswire.com)
  • Diabetes is a complex disorder that requires constant attention to diet, exercise, glucose monitoring, and medication to achieve good glycemic control. (diabetesjournals.org)
  • 10 A study has found that health plans with low patient medication adherence rates could save $4 billion (heart failure) and $19 billion (diabetes) annually by improving adherence of their enrollees. (lexology.com)
  • Suffice it to say that using the measures , in combination with a brief interview between pharmacist and patient, significantly improved adherence across five medication classes aimed at treating chronic health conditions (e.g., calcium channel blockers, oral diabetes medications, beta-blockers, statins, and renin angiotemsin system antagonists). (scottdmiller.com)
  • Older adults are prescribed more medications than younger adults, and have a higher rate of chronic diseases such as high blood pressure, diabetes , and high cholesterol. (lark.com)
  • Several of the star measurements rely on medication adherence in chronic conditions such as diabetes, high blood pressure, and hypercholesterolemia (See "Medicare measures for chronic conditions," below). (managedcaremag.com)
  • For diabetes and hypercholesterolemia, a high level of medication adherence was associated with lower disease-related medical costs. (ovid.com)
  • The results were consistent for all three classes of medication, including medications to control diabetes, high blood pressure and high cholesterol," said co-investigator Julie A. Schmittdiel, Ph.D., a research scientist with the Kaiser Permanente research division. (ucla.edu)
  • Stephen J. Teach, M.D., M.P.H., and colleagues tried to reduce missed doses of daily medications, improve asthma control and tamp down on schoolchildren's asthma attacks by outsourcing morning delivery of. (eurekalert.org)
  • This chronic condition is typically treated with nightly and morning doses of inhaled corticosteroids (ICS), medications that decrease lung inflammation to prevent asthma attacks. (eurekalert.org)
  • Individualized asthma self-management improves medication adherence and markers of asthma control. (nih.gov)
  • Adherence to inhaled anti-inflammatory therapy and self-management skills are essential parts of the asthma treatment plan to improve asthma control and prevent exacerbations. (nih.gov)
  • A 24-week prospective, randomized controlled trial was performed to study the effect of self-management education on long-term adherence to inhaled corticosteroid (ICS) therapy and markers of asthma control. (nih.gov)
  • After stabilization on ICS medication during a run-in phase, 95 adults with moderate-to-severe asthma were recruited from a large metropolitan community, and 84 were randomized to individualized self-management education, including self-monitoring of symptoms and peak flow or usual care with self-monitoring alone. (nih.gov)
  • Our results show that individualized asthma self-management education attenuates the usual decrease in medication adherence and improves clinical markers of asthma control. (nih.gov)
  • And even a small change in adherence can potentially produce a big public health benefit, especially when the disease is as prevalent as asthma," he added. (thaindian.com)
  • Non-adherence could be intentional (perceptions of asthma severity, self-manage therapy, fear of side-effects) or non-intentional (forgetful, cost, and misunderstandings). (scirp.org)
  • The Global Initiative for Asthma (GINA) recommends initial regular controller treatment plus as needed short-acting beta agonist (SABA) for medication therapy. (scirp.org)
  • The impact of non-adherence on asthma is significant, including frequent asthma exacerbation, increased frequency of emergency visits, and hospitalization. (scirp.org)
  • We recently reported on a trial to improve adherence to inhaled corticosteroids in 8517 adult health plan members with asthma. (ajmc.com)
  • To determine the effectiveness of digital adherence interventions for improving adherence to maintenance treatments in asthma. (cochrane.org)
  • Asthma, the chronic inflammation and constriction of the airways, can be treated and managed with appropriate medication. (nclnet.org)
  • Increasing the patient share of out-of-pocket costs for children's asthma medications, led to more children needing emergency treatment for complications related to asthma (Karaca-Mandi et al 2012, JAMA). (nclnet.org)
  • The Script Your Future campaign , organized and developed by the National Consumers League, helps address the medication adherence problem for major chronic diseases, including asthma. (nclnet.org)
  • The purpose of this study is to develop and examine the feasibility and initial efficacy of a computer-based intervention to improve medication adherence among people living with HIV. (clinicaltrials.gov)
  • Several factors contribute to low adherence, Brown said, but incomplete or incorrect knowledge about the prescribed medication is a frequent, overarching cause. (additudemag.com)
  • He further explained to Citizen News Service (CNS): "Understanding these factors can increase providers' attention to adherence. (newsblaze.com)
  • Much of the prior medication adherence research has attempted to explain the variation in medication adherence by analyzing cognitive factors of the patient, such as medication knowledge, beliefs, self-efficacy, and intention to adhere. (healio.com)
  • These are important factors but lead to interventions that are heavy on medication education. (healio.com)
  • The theories and interventions also need to incorporate an ecological approach, acknowledging that medication adherence is explained by more than just patient-related factors. (healio.com)
  • Other barriers that may play a role include beliefs about medications, social support, side effects and provider factors. (medindia.net)
  • Conclusions: In this setting, racial and ethnic differences in antihypertensive treatment adherence were present at an early stage of treatment and robust to socio-demographic and clinical adjustment, suggesting that non-clinical factors (e.g., illness beliefs, concerns about medicines) may be important primary drivers of disparities in early non-adherence. (healthpartners.com)
  • In a recent blog published by Boston-based venture capital firm Flare Capital Partners, the authors identified over 25 medical adherence tech companies addressing one or more of these factors. (lexology.com)
  • The Adherence eValuation After Ischemic stroke-Longitudinal (AVAIL) Registry assessed patient, provider, and system-level factors influencing continuation of prevention medications for 1 year following stroke hospitalization discharge. (rti.org)
  • Demographics, social and psychological factors, medical system barriers, as well as financial and treatment-related factors can all be considered as having an effect on patient adherence. (pharmacytimes.com)
  • A helpful book that covers non-adherence factors is Bipolar Disorder For Dummies [ [2] ]. (wikieducator.org)
  • Based on a thorough review of available evidence, authors identified five key factors that affect medication adherence. (cardiosmart.org)
  • The remaining factors related to medication adherence included medical conditions like depression and other factors such as vision, mobility and alcohol abuse. (cardiosmart.org)
  • The introduction of MedWise increases the value of traditional PGx testing and interpretation services by considering the impact that external factors, such as other medications and certain imflammatory diseases, have on the expression of genes. (yahoo.com)
  • However, several factors may influence the accuracy of genomic predicted drug response and influence how a body interacts with medications. (yahoo.com)
  • Factors associated with medication adherence were investigated. (ebscohost.com)
  • Healthcare providers (as part of a healthcare team within the health system) are an integral part of the five interacting dimensions of medication adherence identified by the World Health Organization (WHO) (See Figure 1 and Table 1 ), which include social/economic factors, medical condition-related factors, therapy-related factors, and patient behaviors. (acpm.org)
  • Considering all of the factors listed in Table 1 that contribute to poor adherence, on the surface, it would appear that the provider role is very small. (acpm.org)
  • What are the key factors driving the North America Medication Adherence Packaging Systems market? (medgadget.com)
  • Factors that can impact medication include patient-related factors, social- and economic-related factors, health system/health care team-related factors, and therapy-related factors. (springer.com)
  • Genetic variants and medication adherence have been identified to be the main factors contributing to lithium treatment response in bipolar disorders. (cambridge.org)
  • The field of medication adherence research typically focuses on patient factors for poor adherence, leading to a 'blame the patient' approach for non-adherence," said Dr. O. Kenrik Duru, the study's lead researcher and an assistant professor in the division of general internal medicine and health services research at the David Geffen School of Medicine at UCLA. (ucla.edu)
  • Only then can we begin to make significant improvements to the medication use process and, in turn, the health of older adults. (nih.gov)
  • The report estimates that this phenomenon, known as poor adherence, costs the health care system $100 billion to $300 billion each year, and results in about 125,000 deaths. (medicalnewstoday.com)
  • A personal health record was used to store lists of patient medications and reminder preferences. (eurekalert.org)
  • We found that a telecommunication-based reminder linked to a personal health record can increase adherence with once-daily glaucoma medications. (eurekalert.org)
  • Non-adherence to essential medications represents an important public health problem. (springer.com)
  • Improved adherence to inhaled corticosteroids (ICS) is recognized as an important factor in reduced morbidity, mortality and consumption of health care resources. (unboundmedicine.com)
  • However, the World Health Organization has promoted the term "adherence" for use in chronic disorders as "the extent to which a person's behavior-taking medication, following diet, and/or executing lifestyle changes-corresponds with agreed recommendations from a health care provider" ( 3 ). (diabetesjournals.org)
  • Poor adherence to treatments for chronic diseases is a worldwide problem and was highlighted as a problem of striking magnitude by the World Health Organization [WHO] (2003) . (frontiersin.org)
  • This is known as medical non-adherence, and it's costing many people their good health and the medical system billions of dollars. (hattiesburgamerican.com)
  • This lack of research is surprising, given that older adults bear the bulk of the chronic illness burden in our society and take a greater average number of prescription medications than younger individuals ( National Center for Health Statistics, 2009 ). (healio.com)
  • Medication adherence is a vital health behavior for the management of most chronic conditions in older adults. (healio.com)
  • Outpatient prescription medications fall outside the scope of the Canada Health Act, which requires provinces to provide universal public insurance for medically necessary hospital and physician services. (cmaj.ca)
  • Digital health tools may offer potential aids in solving matters of adherence. (acpinternist.org)
  • Meanwhile, innovators are exploring the potential of digital health tools in solving matters of adherence. (acpinternist.org)
  • Some aspects of adherence have improved with the times, said Kevin Volpp, MD, PhD, FACP, director of the Center for Health Incentives and Behavioral Economics and professor of medicine and health care management at the Perelman School of Medicine and the Wharton School of the University of Pennsylvania in Philadelphia. (acpinternist.org)
  • Medication adherence is an especially crucial challenge for health delivery systems to solve as health financing shifts away from fee-for-service, said Dr. Volpp, also a staff physician at the Philadelphia Veterans Affairs Medical Center. (acpinternist.org)
  • The 4th Annual Health Plan Strategies for MTM and Medication Adherence brings together health plan pharmacy and engagement professionals to discuss best practices to move the needle on medication adherence. (worldcongress.com)
  • The PDF brochure for the Health Plan Strategies for MTM and Medication Adherence is now available. (worldcongress.com)
  • MediMergent is a data collection and analytics company that utilizes its NMSOAP platform to implement customized, patient centric, real-world evidence projects for health care companies to support their commercial interests and regulators to better understand real world patient safety and medication effectiveness. (businesswire.com)
  • Nearly 75% of Americans report that they do not always take their medication as directed by a health care professional- a problem that causes more than one-third of medicine-related hospitalizations and nearly 125,000 deaths in the United States annually. (pharmacytimes.com)
  • 1 "Poor medication adherence is costing Americans their good health, and is costing our nation an estimated $290 billion each year in avoidable healthcare costs," 2 said Stephen C. Anderson, IOM, CAE, chairman of the board of the National Association of Chain Drug Stores Foundation. (pharmacytimes.com)
  • Improved adherence will contribute to lower overall health care costs and increased quality of life. (pharmacytimes.com)
  • Atreja et al completed a narrative review of the current literature to help health care professionals become familiar with proven interventions that can enhance patient adherence. (pharmacytimes.com)
  • Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence. (ajmc.com)
  • Using broad eligibility criteria, we enrolled 21,752 adult members of a health maintenance organization in a randomized trial to evaluate whether 2 phone reminder interventions, compared with usual care, could improve adherence to statins, angiotensin-converting enzyme inhibitors, and angiotensin receptor blockers. (ajmc.com)
  • The U.S. Food and Drug Administration, often referred to as the FDA, has teamed up with many health organizations to improve medication adherence. (cardiosmart.org)
  • Taking a medication incorrectly or not at all can render the drug ineffective , or worse, have a negative effect on your health. (cardiosmart.org)
  • The Partnership launched on Thursday to bring together patient, provider, employer, pharmacy and health plan advocates to work closely with policymakers in Washington, D.C., to improve medication adherence. (drugstorenews.com)
  • The poll also found that more than half of respondents said they would be more likely to take their medications as prescribed if they were more informed about the potential negative health consequences of non-adherence. (drugstorenews.com)
  • At NACDS, we are seeing ever-greater awareness among policymakers about the benefits of boosting medication adherence, and the launch of the Partnership is ideally timed to help build that momentum for the good of patient health," stated NACDS president and CEO Steve Anderson. (drugstorenews.com)
  • RESTON, Va. - A company that manages pharmacy services for employer groups and health plans has selected a company founded by the National Community Pharmacists Association for its medication therapy management services. (drugstorenews.com)
  • Given the consequences of this pervasive problem, non-adherence is increasingly recognized as one of the leading challenges that professionals face in contemporary health care. (wiley.com)
  • Method: A systematic literature review was conducted to explore the impact of faith beliefs on health and/or medication adherence in individuals with depression and/or HIV+/AIDS. (doaj.org)
  • It has even been included in the World Health Organization's "Model List of Essential Medications. (diabetesincontrol.com)
  • As a member of the global Diarrhea and Pneumonia Working Group (part of the Child Health Technical Reference Team of the UN Commission on Life-saving Commodities for Women and Children), MSH through SIAPS, working with PATH and other agencies, contributed to the development of job aids to improve dispensing practices of amoxicillin, and product presentations to improve caregiver's adherence to correct treatment dosage. (msh.org)
  • A new report conducted by the New England Healthcare Institute (NEHI) found that not taking medications as prescribed leads to poorer health, more frequent hospitalization, a higher risk of death and as much as $290 billion annually in increased medical costs. (mobihealthnews.com)
  • Physician trust correlates positively with acceptance of new medications, intention to follow physician instructions, perceived effectiveness of care, and improvements in self-reported health status. (acpm.org)
  • What Is Medication Adherence and Why Does It Matter to Your Health? (anthem.com)
  • Bring all of your medications or a detailed list of them to each health care visit. (anthem.com)
  • Your health care team can answer your questions about why you're taking medications, potential side effects, correct dosing and the best time to take your medications. (anthem.com)
  • Know the available patient education programs conducted by the medical groups and the health plans, such as medication therapy management (MTM), pharmacy case management, etc. (lacare.org)
  • Medication adherence is just as important in this population, and older adults who have high self-efficacy and have a high perception of health status. (lark.com)
  • These behaviors can all support general well-being as well as increase patient self-efficacy in taking charge of health and staying adherent to medications to stay as healthy as possible. (lark.com)
  • As the debate intensifies over how to structure and pay for effective health care in America, non-adherence to prescription medication has emerged as a critical focus," said Mark Greene, CEO of FICO. (fico.com)
  • Because the FICO Medication Adherence Score requires minimal information from the patient, and no prescription claims or sensitive health information, the score can be generated for members of any patient population. (fico.com)
  • The FICO Medication Adherence Score provides valuable insight to pharmaceutical marketing teams that until now has not been readily available," said Eric Newmark, Research Manager at IDC Health Insights. (fico.com)
  • Considering that non-adherence to prescribed drugs is estimated to cost the pharmaceutical industry more than US$ 35 billion in lost revenue annually, the FICO Medication Adherence Score can offer great value for marketing optimization and insight into ways to improve patient health. (fico.com)
  • For many chronic conditions, medications are a mainstay of health - preventing disease progression, improving quality of life, and staving off mortality," says Simoni-Wastila. (umaryland.edu)
  • Medication non-adherence is an increasingly growing threat to patient health. (omnicell.com)
  • The study suggests that individual health risks and comorbidity-that is, the presence of more than one chronic disease-remain significant predictors of reduced workplace productivity, even in a population with a high rate of medication adherence. (ohsonline.com)
  • The study, published this week in the June issue of the Journal of Occupational and Environmental Medicine (JOEM), suggests that individual health risks and comorbidity-that is, the presence of more than one chronic disease-remain significant predictors of reduced workplace productivity, even in a population with a high rate of medication adherence. (ohsonline.com)
  • While more investigation is needed on the connection between health-risk status, comorbidity, and medication adherence on productivity, the authors said the study strongly supports the need for employers to manage the growing impact of chronic disease on their workers. (ohsonline.com)
  • Despite the ongoing debate, adherence has been the preferred term for the World Health Organization, The American Pharmacists Association, and the U.S. National Institutes of Health Adherence Research Network. (wikipedia.org)
  • Cost and poor understanding of the directions for the treatment, referred to as 'health literacy' have been known to be major barriers to treatment adherence. (wikipedia.org)
  • For physicians, improving patient adherence to medication recommendations has proved to be a complex task. (psychiatrictimes.com)
  • Recently developed adaptive statistical modeling methods were used to analyze EMD data collected with medication event monitoring system (MEMS™) caps in a clinical trial testing the effects of motivational interviewing on adherence to antihypertensive medications in a cohort of hypertensive African-Americans followed for 12 months in primary care practices. (dovepress.com)
  • GADL1 rs17026688 T carriers had significantly lower frequencies of recurrent affective episodes than non-T carriers during the cumulative period of good adherence, but not during those of poor adherence. (cambridge.org)
  • They defined "good adherence" as having medication available and on-hand at least 80 percent of the time. (ucla.edu)
  • They combined information from 31 studies involving more than 18,000 people -- significantly more than past reviews -to examine the link between medication adherence and depression. (medindia.net)
  • Item scores are averaged with higher scores indicating higher adherence self-efficacy. (clinicaltrials.gov)
  • and poor medication adherence and treatment decisions due to patient passivity or resistance. (doaj.org)
  • Poor medication adherence is associated with reduced treatment benefits and can obscure the provider's assessment of therapeutic effectiveness. (acpm.org)
  • Unfortunately, poor medication adherence is common and widespread, affecting all age groups and disease conditions. (dovepress.com)
  • Poor medication adherence causes approximately 125,000 deaths annually. (anthem.com)
  • Symptomatic relapse is common in schizophrenia and related psychotic disorders, and one of the most common contributors to relapse is poor medication adherence. (empr.com)
  • Nurses have long been seen as playing an important role in improving medication adherence and can now serve an important role in improving the research in this area. (healio.com)
  • Now more than ever, pharmacies are positioned play an important role in improving medication adherence. (omnicell.com)
  • This presentation contains results from the Healthcare Intelligence Network's third annual medication adherence survey, which gathered responses from more than 100 healthcare companies describing medication adherence program components, the most successful tools for improving medication adherence, results and ROI, and much more. (slideshare.net)
  • Identifying strategies for improving medication adherence are the responsibility of all involved, but the focus of this Time Tool is on the provider's role in medication adherence. (acpm.org)
  • This exclusive report analyzes the responses of 162 healthcare organizations to HIN's second annual Industry Survey on Improving Medication Adherence administered in August 2011, presenting the data in more than 40 easy-to-follow graphs and tables. (hin.com)
  • For one class of medications, ACE Inhibitors and ARBs, 78.3% of Minnesotans are adherent to their medications, a modest improvement since 2010. (mn.us)
  • For a second class of medications, diuretics, a slightly lower percentage of Minnesotans (72.7%) are adherent to their medications, a slight improvement since 2010. (mn.us)
  • Table 2 shows the percentage of adults who are adherent to their blood pressure medication improves with age. (mn.us)
  • With input from pediatricians, family physicians and nurse care practitioners, the IAMC will be able to determine goals for future initiatives that will help people understand the importance of taking medications properly. (prweb.com)
  • F or many physicians, prescribing medications is the easy part. (acpinternist.org)
  • Physicians play an integral role in medication adherence. (acpm.org)
  • The present study was designed to replicate previous reports of patient adherence with fluticasone/salmeterol in a single inhaler (FSC), fluticasone and salmeterol in separate inhalers (FP+SAL), fluticasone and montelukast (FP+MON), fluticasone alone (FP) and montelukast alone (MON). METHODS: A 24-month observational retrospective study was conducted using administrative claims data. (unboundmedicine.com)
  • RESEARCH DESIGN AND METHODS -A literature search (1966-2003) was performed to identify reports with quantitative data on adherence with oral hypoglycemic agents (OHAs) and insulin and correlations between adherence rates and glycemic control. (diabetesjournals.org)
  • A combination of methods is recommended to measure adherence, with electronic monitoring and drug measurement being the most accurate. (frontiersin.org)
  • The authors highlight the strengths and weaknesses of each of the analytical techniques cited in addition to categorizing the findings in terms of the biological samples used to assess adherence and identifying methods to extract biological samples prior to analysis. (rti.org)
  • Taking medications as part of a daily routine and utilizing pill boxes were the most frequently reported helpful methods to improve adherence. (healthcanal.com)
  • However, little is known about intermediate and long-term adherence rates. (ahajournals.org)
  • To date, electronic monitoring is the only objective method (aside from direct observation) that can assess dosing times and allow for analysis of adherence patterns. (healio.com)
  • A convenience sample was interviewed to qualitatively assess potential medication therapy management needs and medication-related problems. (doaj.org)
  • The median intervention duration was 12 weeks, and self-report was the most commonly used method to assess medication adherence. (acc.org)
  • Using regression analysis, these measures were modeled at varying levels of medication adherence. (ovid.com)
  • Additional well-documented barriers to medication adherence are dose complexity and patient cost-sharing. (medindia.net)
  • The Prevention Research Synthesis (PRS) Project routinely updates the MA chapter by adding newly identified EBIs that improve HIV medication adherence or viral load suppression among persons living with HIV (PLWH). (cdc.gov)
  • Adherence has been defined as the "active, voluntary, and collaborative involvement of the patient in a mutually acceptable course of behavior to produce a therapeutic result. (pharmacytimes.com)
  • Despite increased awareness, poor adherence to treatments for chronic diseases remains a global problem. (frontiersin.org)
  • Furthermore, adherence is lower among individuals with chronic diseases compared to acute conditions. (lark.com)
  • As such, nearly half of children fail to take medications as directed, resulting in issues such as treatment failures, additional doctor (or even hospital) visits, need for extra medications, increased healthcare costs and a greater potential for antibiotic resistance. (prweb.com)
  • But complex neural networks and varying baseline scenarios make it impossible to tell from the outset which medication, dosage, or treatment schedule will work best for each individual. (additudemag.com)
  • At the recently concluded 6th National Conference of AIDS Society of India (ASICON 2013), Dr K Satish, a senior Pulmonologist from Bangalore, stressed upon the importance of adherence to both care and medication for the success of any treatment programme including HIV/AIDS. (newsblaze.com)
  • Replacing the frequent home visits often necessary for tuberculosis treatment with video visits facilitated by an app appears to be a cost-effective, well-received means of ensuring adherence throughout therapy, according to a recently published pilot study. (mobihealthnews.com)
  • Non-adherence occurs when a patient does not: initiate a new prescription, implement as prescribed, or persist with treatment (Figure 1 ). (frontiersin.org)
  • This formative study examined self-reported medication adherence in adults with ADHD with clinically significant symptoms despite medication treatment. (nih.gov)
  • These data suggest that self-report of adherence to ADHD medications may be a useful and expedient way of assessing adherence, and that assessment and counseling about adherence may be an important part of treatment. (nih.gov)
  • Assesses adults 19-64 years of age who have schizophrenia and were dispensed and remained on an antipsychotic medication for at least 80% of their treatment period. (ncqa.org)
  • Adherence to and completion of treatment with amoxicillin dispersible tablets depends on caregivers having a clear understanding of how to administer the medicine to their children, including the correct dosage, frequency, and timing of treatment as well as how to disperse the tablets. (msh.org)
  • By providing job aids for healthcare providers and clear instructions for medication preparation and administration for caregivers, better treatment adherence can be achieved by both providers and caregivers. (msh.org)
  • Poor adherence to prescribed medication is associated with reduced treatment benefits and can obscure the clinician's assessment of therapeutic effectiveness. (acpm.org)
  • Numerous studies show that physician trust is more important than treatment satisfaction in predicting adherence to prescribed therapy and overall satisfaction with care [8]. (acpm.org)
  • Adherence to antiretroviral therapy (ART) is critical for achieving viral suppression, yet observational studies indicate that ART adherence can decline over time and is often punctuated by short treatment interruptions that predict viral breakthrough. (nih.gov)
  • Valid measurement of oral antiretroviral (ARV) medication adherence is critical to both clinical trials and clinical care in HIV treatment and prevention. (nih.gov)
  • citation needed] The term adherence is often used to imply a collaborative approach to decision-making and treatment between a patient and clinician. (wikipedia.org)
  • According to a recent federal report, Americans with chronic conditions take their medications as prescribed about 50 to 60 percent of the time. (medicalnewstoday.com)
  • This lack of patient awareness hides the known consequences of non-adherence. (lacare.org)
  • Evidence from a systematic review shows interventions lead to meaningful improvements in short-term rates of medication adherence. (thecommunityguide.org)
  • According to NEHI, formerly the New England Healthcare Institute, non-adherence has been estimated to impose $290 billion in avoidable healthcare costs annually. (drugstorenews.com)
  • If generalized to the nation as a whole, just a 1% increase in medication use saves $1.7 billion in overall healthcare costs, or $5.76 per person. (drugstorenews.com)
  • Unless steps are taken to address the problem of non-adherence, these younger adults will further weigh on an already broken healthcare system because they face an increased risk for developing heart disease, which, in the end, will increase their healthcare costs. (drugstorenews.com)
  • For these conditions, higher medication costs were more than offset by medical cost reductions, producing a net reduction in overall healthcare costs. (ovid.com)