Investing in medication adherence improves health outcomes and health system efficiency

Rabia Khan, Karolina Socha-Dietrich
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引用次数: 71

Abstract

Poor adherence to medications affects approximately half of the patient population, leading to severe health complications, premature deaths, and an increased use of healthcare services. The three most prevalent chronic conditions – diabetes, hypertension, and hyperlipidaemia – stand out regarding the magnitude of avoidable health complications, mortality, and healthcare costs. There are three broad reasons behind these low rates of adherence to chronic disease medications. Firstly,the problem of poor adherence has rarely been explicitly included in national health policy agendas. Secondly, interventions tend to attribute the problem exclusively to patients, while the evidence suggests that health system characteristics – in particular the quality of patient-provider interaction, procedures for refilling prescriptions, or out-of-pocket costs – are lead drivers. Thirdly, patients with chronic conditions frequently feel left out of the decision about their therapy and are inclined to rebuff. This paper identifies enablers that are needed for improving adherence to medication at the system level.
投资于药物依从性可改善健康结果和卫生系统效率
药物依从性差影响了大约一半的患者,导致严重的健康并发症、过早死亡和更多地使用医疗保健服务。三种最常见的慢性疾病——糖尿病、高血压和高脂血症——在可避免的健康并发症、死亡率和医疗费用方面显得尤为突出。慢性疾病药物依从率如此之低的原因有三个。首先,很少将依从性差的问题明确列入国家卫生政策议程。其次,干预措施往往将问题完全归咎于患者,而有证据表明,卫生系统的特点——特别是患者与提供者互动的质量、重新开处方的程序或自付费用——是主要驱动因素。第三,慢性疾病患者经常感到被排除在治疗决策之外,并倾向于拒绝。本文确定了在系统级别上改善药物依从性所需的使能因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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