Medical Adherence Is Related To the Degree to Which a Person Properly Follows the Given Medical Advice Based On Their Illnesses
Medical adherence is defined as patient compliance to a treatment regimen. Typically, this refers to drug or medication compliance, but can also be an indicator of self-care or attendance at therapy sessions. For example, patients who adhere to their treatment plans are more likely to receive the best possible care. However, there is no single definition for patient compliance, and different levels of compliance are often found in the same population. For these reasons, it is important to understand how to assess patient medication adherence and improve its overall effectiveness.
Studies
show that Medical
Adherence is
essential for patient safety and improving the quality of care. The World
Health Organization estimates that poor medication adherence accounts for an
estimated 50 percent of the morbidity and mortality of patients with chronic
illnesses. These statistics also entail significant financial costs. In fact, a
recent literature review revealed that 20% to 30 percent of new prescriptions
never get filled. Despite the high costs of nonadherence, these costs may
outweigh the benefits of medication adherence in terms of increased health care
expenses.
The
first step in improving patient medication adherence is to assess the readiness of
patients for treatment. In this step, health care providers must identify
potential barriers to medication adherence, provide educational interventions and
relevant treatment knowledge, and develop a trusting relationship with
patients. This counseling may need to continue throughout the course of the
disease and should identify the various factors that may influence medical
adherence to a medication regimen. For example, the patient's social
background, disease-related stress, and his or her perception of the illness
should all be considered.
While
the cause of nonadherence is still unknown, some strategies include calling
patients the day before a scheduled appointment, sending automated reminders,
and sending messages to the patient's EHR patient portal. Some patients may be
reticent to share their true medication-taking habits with their healthcare
providers, so reassuring them that they are not being judged will be most
effective. A physician should be prepared for these situations and should be
ready to provide a solution.
The
effects of age on medical adherence are mixed, with depression and co-payments
having a negative impact. The effects of gender and insurance status were less
clear. However, studies have shown that age does have a concave relation with
medication adherence, with younger people having better medical adherence rates
than older individuals. While medical adherence is impacted by the severity of
the depression and co-payments, they are not sufficient to explain the
differences among different age groups.
Nonadherence
to prescribed medication can result in negative outcomes. If it is intentional,
patients may not realize that taking a medication for asymptomatic conditions
can lead to devastating long-term consequences. Many of these patients do not
understand the importance of following their treatment regimen and may focus on
short-term benefits rather than long-term consequences. In such cases, they may
be unaware of the implications of medication non-medical adherence. However,
there are several strategies that can help improve non-medical adherence, and
patients can continue to live a life of independence.
There
are a variety of factors that influence medication adherence. The most common are
social, economic, and psychological factors. For example, socioeconomic status
may influence medication adherence. The latter also affects the motivation to
begin and complete treatment. Fortunately, there are many different ways to
measure medication adherence. And, by defining the factors that influence it,
doctors can determine what the best treatment for each patient is. And, most
importantly, medical adherence is the foundation of successful treatment.
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