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Improving medication adherence: a framework for community pharmacy-based interventions.

Janice Pringle1, Kim C Coley2

  • 1Program Evaluation and Research Unit, Department of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, USA.

Integrated Pharmacy Research & Practice
|January 23, 2018
PubMed
Summary
This summary is machine-generated.

Improving patient medication adherence is crucial. This framework guides community pharmacists in developing effective, patient-centered interventions to enhance medication adherence and improve health outcomes.

Keywords:
community pharmacy servicesimplementation sciencemedication adherencepharmacies

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Area of Science:

  • Pharmacy practice
  • Health services research
  • Patient adherence

Background:

  • Suboptimal patient medication adherence is prevalent, leading to poor health outcomes and increased healthcare costs.
  • Pharmacist-led interventions in community settings show mixed results, necessitating effective strategies for consistent improvement.
  • Community pharmacists are well-positioned to implement medication adherence programs.

Purpose of the Study:

  • To propose a framework for community pharmacies to significantly improve patient medication adherence.
  • To provide a strategy for developing and testing innovative medication adherence interventions.
  • To outline key elements for successful pharmacist-led adherence programs.

Main Methods:

  • A proposed framework encompassing pharmacy service vision, evidence-based communication, implementation fidelity, and continuous evaluation.
  • Emphasis on pharmacist-specific skills, leadership communication, and individualized, patient-centered strategies.
  • Incorporation of motivational interviewing and repeated, adaptive interventions within workflow processes.

Main Results:

  • The framework aims to enhance patient medication adherence through structured, consistent interventions.
  • Successful implementation requires effective training, fidelity, and adaptable strategies.
  • Consistent application of the framework is expected to yield significant improvements in adherence.

Conclusions:

  • The proposed framework offers a structured approach for community pharmacists to improve medication adherence.
  • Key components include a clear vision, patient-centered care, robust implementation, and ongoing evaluation.
  • This model facilitates the development and testing of innovative, effective adherence solutions.