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Updated: May 13, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
09:42

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Published on: November 8, 2013

Osteoporosis medication adherence: physician perceptions vs. patients' utilization.

Jeffrey R Curtis1, Qian Cai, Sally W Wade

  • 1University of Alabama at Birmingham, FOT 805D, 510 20th Street South, Birmingham, AL 35294, USA. jcurtis@uab.edu

Bone
|March 19, 2013
PubMed
Summary

Physicians often overestimate osteoporosis medication adherence. Actual patient adherence rates from pharmacy claims were significantly lower than physician estimates, impacting care quality.

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Last Updated: May 13, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
09:42

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Published on: November 8, 2013

Area of Science:

  • Pharmacology
  • Health Services Research
  • Geriatrics

Background:

  • Physician perceptions of osteoporosis medication adherence are poorly understood.
  • Accurate assessment of patient adherence is crucial for effective osteoporosis management.

Purpose of the Study:

  • To compare physician-estimated medication adherence with pharmacy claims-based adherence in osteoporosis patients.
  • To identify physician characteristics associated with overestimation of adherence.

Main Methods:

  • A survey assessed physician perceptions of medication adherence.
  • Pharmacy claims data were used to calculate medication possession ratio (MPR) for 2748 patients.
  • Physicians overestimating adherence by ≥10 points were classified as 'optimistic'.

Main Results:

  • Physicians estimated 67.2% adherence, while claims data showed only 40% adherence.
  • Optimistic physicians estimated 71.9% adherence versus 32.2% actual adherence.
  • Physicians in academic settings were more likely to be optimistic (OR 1.69).

Conclusions:

  • Physician overestimation of osteoporosis medication adherence is common.
  • This discrepancy may hinder optimal patient care and treatment strategies.
  • Further research is needed to address this perception gap.