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'Take as directed'--strategies to improve adherence to cardiac medication

Tanya H Tajouri1, Steven L Driver2, David R Holmes1

  • 1Mayo Clinic College of Medicine, Division of Cardiovascular Diseases, 200 First Street SW, Rochester, MN 55905, USA.

Nature Reviews. Cardiology
|December 18, 2013
PubMed

Insights

Medication nonadherence in cardiovascular disease patients is a significant public health issue. Multifaceted strategies, including financial incentives and technology, are needed to improve long-term patient adherence and health outcomes.

Area of Science:

  • Cardiovascular Diseases
  • Public Health
  • Behavioral Science

Background:

  • Medication adherence is crucial for effective cardiovascular disease treatment.
  • Nonadherence is a major public health challenge, leading to poor clinical outcomes.
  • Complex factors influence nonadherence, including patient education, physician communication, and healthcare access.

Approach:

  • Review of interventions targeting medication adherence barriers.
  • Exploration of novel strategies like financial incentives and mobile health applications.
  • Emphasis on personalized, multifaceted approaches for sustained adherence.

Key Points:

  • Individual interventions show modest improvements in medication adherence.
  • Financial incentives and technology offer promising new avenues for adherence improvement.
  • Addressing diverse barriers requires tailored, patient-specific strategies.

Conclusions:

  • Improving long-term medication adherence necessitates comprehensive, individualized strategies.
  • Enhanced adherence positively impacts patient health and treatment effectiveness.
  • Novel approaches are vital to overcome persistent challenges in medication adherence.

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