Enhancing Medication Adherence: The Public Health Dilemma by Hayden B Bosworth

By Hayden B Bosworth

Enhancing medicine Adherence: the general public healthiness quandary is a finished consultant to drugs adherence for the health practitioner. Clinicians and pharmacists alike can take advantage of key opinion chief and writer Hayden Bosworth’s textual content as he explains the main points and factors at the back of medicine nonadherence in addition to tools on how healthcare prone can verify if a sufferer is nonadherent. also, Bosworth discusses a number of reviews, which verify adherence, adherence-related know-how, top practices for clinicians and pharmacists, and destiny instructions and proposals within the field.

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Hospitalizations and deaths among adults with cardiovascular disease who underuse medications because of cost: a longitudinal analysis. Med Care. 2010;48:87-94. Zeber JE, Grazier KL, Valenstein M, Blow FC, Lantz PM. Effect of a medication copayment increase in veterans with schizophrenia. Am J Manag Care. 2007;13:335-346. Re fe r ences • 55 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 Fendrick AM, Chernew ME, Levi GW. Value-based insurance design: embracing value over cost alone.

Published 2003. Accesssed February 28, 2012. Osterberg L, Blaschke T. Adherence to medication. N Engl J Med. 2005;353:487-497. Benner JS, Glynn RJ, Mogun H, Neumann PJ, Weinstein MC, Avorn J. Long-term persistence in use of statin therapy in elderly patients. JAMA. 2002;288:455-461. Avorn J, Monette J, Lacour A, et al. Persistence of use of lipid-lowering medications: a cross-national study. JAMA. 1998;279:1458-1462. Feldman R, Bacher M, Campbell N, Drover A, Chockalingam A. Adherence to pharmacologic management of hypertension.

Supervised dosing Supervised dosing has seldom been used to determine medication adherence, with the exception of antitubercular treatment [136,137], methadone for treatment of narcotic addiction, and monitoring of glycemic adherence in children with diabetes. Up to half the people with tuberculosis do not complete their treatment. 14) [137]. The obvious drawback of supervised dosing is its expense for the healthcare system and inconvenience for patients. It is usually only advocated in extreme cases where societal costs of nonadherence are obvious.

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