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Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence
Hayden B Bosworth1,2,3, Stephen P Fortmann4, Jennifer Kuntz4
1Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA. hayden.bosworth@duke.edu.
Abstract:
Medication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., involving patients and their families in planning their health care) is increasingly emphasized as a promising approach for improving medication adherence, but clinician education around what this might look like in a busy primary care environment is lacking. We use a case study to demonstrate key skills such as motivational interviewing, counseling, and shared decision-making for clinicians interested in providing patient-centered care in efforts to improve medication adherence. Such patient-centered approaches hold considerable promise for addressing the high rates of non-adherence to medications for chronic conditions.
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