This issue will bring you up to date on the impact of nonadherence on chronic conditions and strategies for increasing compliance.
• Medication nonadherence contributes to poor clinical outcomes (including higher hospitalization and death rates) and increases healthcare costs.
• Risk factors/red flags for medication non-adherence include depression, cognitive impairment, missed office visits, poor patient/provider relationship, and lack of response to medication.
• Strategies to improve adherence should address multiple dimensions and be tailored to the individual patient.
Of the 3.8 billion prescriptions dispensed in the US each year, half are not taken as prescribed. Medication nonadherence is a global healthcare problem that is increasingly recognized as a leading cause of rising health care costs and poor health outcomes (eg, disease progression). One to two-thirds of medication related hospital admissions in the US result from nonadherence. In addition, as many as 25% of nursing home admissions may be due to medication nonadherence. Avoidable healthcare costs attributed to nonadherence range from $100 billion to $300 billion each year.
About The Author:
Katherine S. O’Neal, PharmD, MBA, BCACP, CDE, BC-ADM, AE-C is an Associate Professor at The University of Oklahoma (OU) College of Pharmacy. Dr. O’Neal practices as a clinical pharmacist with OU Physicians General Internal Medicine. Her research efforts focus on patient empowerment and health literacy within diabetes and other ambulatory health conditions.