Understanding patient management: the need for medication adherence and persistence | JoVE Visualize

Area of Science:

Pharmacology and Public Health
Chronic Disease Management

Background:

Poor patient adherence to medication is a primary driver of inadequate disease control, particularly in asymptomatic chronic conditions such as hypertension and dyslipidemia.
Non-adherence imposes substantial physical and economic burdens on patients and healthcare systems, contributing to millions of preventable deaths annually.

Purpose of the Study:

To highlight the significance of recognizing and identifying medication non-adherence as a critical first step in disease management.
To explore the multifaceted barriers to medication adherence, encompassing patient-specific factors, healthcare provider influences, and systemic issues.
To underscore the importance of developing and implementing effective strategies to overcome these barriers and improve patient adherence.

Main Methods:

Review of existing literature on medication adherence measurement techniques, including self-report and electronic monitoring.
Analysis of factors contributing to non-adherence within patient, provider, and healthcare system domains.
Identification and synthesis of evidence-based strategies to enhance medication adherence.

Main Results:

Medication adherence can be assessed through various methods, ranging from patient self-reporting to sophisticated electronic monitoring systems.
Successful management of non-adherence requires a comprehensive approach that considers the complex interplay of patient-related, provider-related, and system-related barriers.
Strategies such as patient education, improved patient-provider communication, optimized dosing schedules, development of drugs with fewer side effects, and enhanced healthcare accessibility are vital.

Conclusions:

Improving medication adherence is essential for effective chronic disease management and reducing the global burden of preventable mortality.
A collaborative approach involving patients and healthcare providers, with a focus on clear communication and shared decision-making, is fundamental.
Simplifying drug regimens and addressing systemic barriers are key to empowering patients and enhancing long-term adherence.