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Medication Adherence: Truth and Consequences.

Marie T Brown1, Jennifer Bussell2, Suparna Dutta1

  • 1Department of Medicine, Rush Medical College, Chicago, Illinois.

The American Journal of the Medical Sciences
|April 16, 2016
PubMed
Summary
This summary is machine-generated.

Improving medication adherence is crucial for population health, as patients intentionally conceal nonadherence due to emotional factors. Enhancing patient-provider trust and communication is key to better adherence.

Keywords:
ComplianceElectronic prescribingMedication adherenceNonadherenceTrust

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Area of Science:

  • Health Services Research
  • Patient Adherence Studies
  • Behavioral Medicine

Background:

  • Patient nonadherence to medication affects 50% of individuals, significantly impacting population health outcomes.
  • Physicians often attribute nonadherence to access or forgetfulness, overlooking intentional patient choices.
  • Emotional factors in patient-provider relationships can lead to concealment of medication-taking behaviors.

Purpose of the Study:

  • To review literature identifying key predictors of medication adherence.
  • To explore multifactorial solutions for improving patient adherence.
  • To emphasize the role of trust, communication, and empathy in medication adherence.

Main Methods:

  • Literature review of studies on medication adherence predictors.
  • Analysis of factors influencing patient adherence decisions.
  • Examination of provider and patient emotional dynamics in adherence.

Main Results:

  • Trust, communication, and empathy are critical adherence predictors, often unmeasured by administrative data.
  • Nonadherence can be an intentional patient choice influenced by emotions.
  • Multifactorial solutions are needed, addressing patient understanding, access, and trust.

Conclusions:

  • Improving medication adherence requires addressing patient beliefs, fears, and values.
  • Enhancing provider recognition of patient perspectives and biases is essential.
  • Focusing on trust and communication can improve adherence and population health.