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Medication adherence: A practical measurement selection guide using case studies.

Leah L Zullig¹, Phil Mendys², Hayden B Bosworth³

¹Center for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, NC, USA; Division of General Internal Medicine, Department of Medicine, Duke University, Durham, NC, USA.

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|February 19, 2017

Summary

This summary is machine-generated.

Selecting the right medication adherence measure requires considering context, purpose, resources, and time. A practical guide helps stakeholders choose the best strategy for evaluating patient adherence.

Keywords:

Case studies Measurement Medication adherence

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Area of Science:

Pharmacology and Pharmaceutics
Health Services Research
Patient Outcomes

Background:

Medication adherence is a critical determinant of treatment success.
Assessing medication adherence presents significant challenges due to its complexity.
No single method universally captures adherence accurately.

Purpose of the Study:

To provide a practical guide for selecting appropriate medication adherence measures.
To illustrate common challenges and solutions in adherence measurement.
To aid stakeholders in choosing the best adherence assessment strategy.

Main Methods:

Presentation of three case studies from diverse stakeholder perspectives (researcher, payer, provider).
Analysis of common problems and processes in measuring medication adherence.
Development of a decision-making tool for measure selection.

Main Results:

The optimal adherence measure is context-dependent, influenced by setting, purpose, resources, and time.
Case studies highlight practical considerations for adherence measurement.
A framework is presented to guide the selection of appropriate adherence assessment tools.

Conclusions:

A simple tool is offered to assist stakeholders in selecting medication adherence measures.
Measure selection should align with specific situational objectives, resources, and needs.
Tailored approaches are essential for effective medication adherence evaluation.