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Medication compliance: the patient's perspective

L S Morris1, R M Schulz

  • 1United HealthCare Corporation, Minneapolis, Minnesota.

Clinical Therapeutics
|May 1, 1993
PubMed
Summary
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Patient medication adherence is crucial for quality of care, but patients value nonclinical outcomes alongside clinical effectiveness. Understanding patient-centered outcomes is key for effective medication use research.

Area of Science:

  • Health Services Research
  • Patient-Reported Outcomes
  • Medication Adherence Research

Background:

  • Outcomes-based research increasingly evaluates healthcare quality.
  • Medication compliance is an intermediate outcome measure used by clinicians and researchers.
  • Patient perspectives on medication value extend beyond clinical effectiveness.

Purpose of the Study:

  • To highlight the importance of patient-centered outcomes in medication adherence research.
  • To advocate for incorporating diverse patient-valued outcomes into quality of care assessments.
  • To emphasize that patients evaluate medications based on overall life impact.

Main Methods:

  • Literature review on factors influencing medication use behavior.
  • Analysis of patient criteria for valuing medication.

Related Experiment Videos

  • Exploration of physical, economic, psychological, and social influences on adherence.

    • Main Results:

    • Patients consider nonclinical outcomes (physical, economic, social, psychological) when evaluating medication.
    • Patient-derived criteria for medication value often compete with clinical outcomes.
    • A growing body of literature supports the multifaceted nature of medication evaluation.

    Conclusions:

    • Outcomes research on medication compliance must incorporate the patient's perspective.
    • Recognizing patient-valued outcomes is essential for improving adherence and quality of care.
    • Future research should explore the interplay between clinical and nonclinical outcomes in medication behavior.