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Updated: May 17, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
Published on: November 8, 2013
Rethinking adherence.
1Institute for Health Research, Kaiser Permanente Colorado, Denver, CO 80237, USA. john.f.steiner@kp.org
New Centers for Medicare & Medicaid Services (CMS) quality measures require improved medication adherence. Effective strategies must address multiple behaviors and barriers, not just individual patient factors.
Area of Science:
- Health Services Research
- Behavioral Science
- Health Policy
Background:
- Centers for Medicare & Medicaid Services (CMS) introduced new quality measures for medication adherence in 2012.
- Medicare Advantage programs face pressure to improve adherence to oral hypoglycemic, antihypertensive, and cholesterol-lowering drugs.
Purpose of the Study:
- To outline effective strategies for improving medication adherence.
- To challenge common misconceptions in designing adherence interventions.
Main Methods:
- Analysis of factors influencing medication adherence.
- Review of principles for designing broadly based adherence interventions.
Main Results:
- Adherence is a complex set of behaviors influenced by individual, social, and environmental factors.
- Effective interventions require a multi-faceted approach, including counseling, outreach, and barrier removal.
- Individual clinicians alone cannot improve adherence at a population level.
Conclusions:
- Adherence interventions must be broadly based and address systemic issues.
- Coordination among clinicians, teams, leaders, and policymakers is crucial for success.
- Achieving CMS adherence goals necessitates a comprehensive health care reform approach.
