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Medication nonadherence: a role for the dental professional
1Orofacial Pain and Oral Medicine Center, Division of Periodontology, Diagnostic Sciences and Dental Hygiene, University of Southern California, Herman Ostrow School of Dentistry, USA.
Journal of the California Dental Association
|September 8, 2012
Summary
Rational nonadherence, where patients stop medication due to side effects, is a growing concern. This includes osteoporosis patients fearing complications like osteonecrosis of the jaw from bisphosphonates.
Area of Science:
- Pharmacology and Patient Adherence
- Oral Health and Systemic Disease
Background:
- Medication nonadherence presents significant health and economic challenges.
- Rational nonadherence, driven by perceived side effects, is an increasing patient behavior.
- Fear of complications, such as osteonecrosis of the jaw, can lead patients to discontinue essential medications.
Purpose of the Study:
- To explore the phenomenon of rational nonadherence in patients.
- To examine osteoporosis patients discontinuing bisphosphonates due to fear of jaw osteonecrosis.
- To outline the potential role of dental professionals in addressing medication nonadherence.
Main Methods:
- Literature review and conceptual analysis of rational nonadherence.
- Case exemplar focusing on bisphosphonate therapy for osteoporosis.
- Discussion of dental professional involvement in patient adherence.
Main Results:
- Rational nonadherence is a complex issue influenced by patient perception of risks versus benefits.
- Osteoporosis patients' fear of osteonecrosis of the jaw is a key driver for discontinuing bisphosphonates.
- Dental professionals are uniquely positioned to identify and intervene in medication nonadherence.
Conclusions:
- Addressing patient concerns about medication side effects is crucial for improving adherence.
- Interprofessional collaboration, particularly with dental professionals, can mitigate rational nonadherence.
- Strategies are needed to support patients in making informed decisions about their medication regimens.
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