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Barriers to treatment: describing them from a different perspective
Francesca Devine1, Taylor Edwards1, Steven R Feldman1,2,3
1Center for Dermatology Research, Department of Dermatology.
Patient Preference and Adherence
|February 6, 2018
Summary
Medication adherence is hindered by many factors. This review reframes adherence barriers as physician and health system challenges, shifting focus to areas with greater control for improved patient outcomes.
Area of Science:
- Health Services Research
- Patient Adherence Studies
- Medical Treatment Compliance
Background:
- Medication adherence research often overlooks physician responsibility.
- Patient-centric barriers dominate adherence literature.
- Physician behavior significantly impacts patient treatment adherence.
Purpose of the Study:
- Identify barriers to medication adherence.
- Reframe adherence barriers as physician behavior hurdles.
- Shift focus to controllable factors influencing adherence.
Main Methods:
- Systematic literature search of PubMed.
- Included systematic reviews published 2010-2017.
- Focused on outpatient medication adherence barriers.
Main Results:
- 31 systematic reviews analyzed, covering 13 disease categories.
- Identified 58 distinct barriers to medication adherence.
- 19 frequently cited barriers categorized by WHO adherence dimensions.
Conclusions:
- Medication adherence is influenced by numerous barriers.
- Adherence barriers can be effectively framed as physician/health system challenges.
- Focusing on physician/systemic factors allows for greater control and improved adherence.
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