7 Reasons HCPs Should Work Harder at Optimizing Adherence

Optimizing adherence has positive impacts on many aspects of healthcare, including outcomes, quality, and costs. When taken all together, these impacts provide clear incentives for HCPs to work harder to achieve better adherence. Optimizing Adherence and Outcomes of Care Many of you I’m sure are familiar with the ‘Physician Charter’, published in Annals of Internal Medicine in 2002 (see here). This multinational consensus drew on both European and U.S. expertise… Read More »

HCP Solutions to Poor Adherence: Should Logic or Emotion Be the Focus?

When HCPs address issues of poor adherence with their patients, where should their focus lie? Should it be more on logic or on emotion? Here are a few thoughts about why emotion should be front-of-mind. Two recent publications got me thinking again about the roles of emotion and logic in adherence-related decisions. This time from the HCP perspective. HCPs Show Poor Adherence to Treatment Guidelines A report from the Dartmouth… Read More »

Patients’ Adherence Decision-Making: The Roles of Emotion and Logic

For patients, adherence decision-making is based on a mix of emotion and logic. Understanding where an individual patient’s balance point lies and responding appropriately could be a major key to better adherence. Roles of Emotion and Logic in Decision-Making If asked whether your decision-making processes leaned more on logic or emotion; what would you say? I’d guess most of us believe our decisions emerge from a rational and logical consideration… Read More »

Addressing Adherence: The Need to Prioritize

Is enough rigor put into identifying the causes of non-adherence? Or into prioritizing these causes? Addressing adherence issues in the right order could have a major impact on improving adherence. Adherence and Diagnostic Rigor HCPs make clinical diagnoses based on a defined, rational process. Typically the process involves an examination of different inputs, such as patient history, physical signs, symptoms, and diagnostic test results. These findings are matched against possible… Read More »

Behavioral Economics: A Promising New Way to Improve Adherence

Behavioral economics describes and predicts how common biases influence our decision-making. An understanding of these biases opens up promising new ways to improve adherence. Read on to find out more. Patient motivation is a key factor for improving adherence. My last post presented reasons for including Motivational Interviewing into any adherence improvement plan; to boost patients’ internal motivation to adhere. Now here’s another way to approach the motivation issue. An… Read More »

Motivational Interviewing: 6 Reasons It’s Key to Adherence

Patient motivation is a critical to the success of any adherence intervention. Without it, patients lack the energy or desire to follow through on recommended solutions. Here are 6 reasons to make Motivational Interviewing a cornerstone of adherence improvement. Patient Motivation Is Pivotal My last post described patient motivation as the ‘fuel’ needed to drive an ‘adherence improvement engine’ (see here for the full story). Without this ‘fuel’, adherence improvement… Read More »

How Can HCPs Improve Patient Motivation to Adhere?

Lack of patient motivation is a major barrier to adherence; one that may be under-recognized and under-addressed. Yet highly effective ways exist to both assess and improve motivation to adhere. This post explores the available tools to improve patient motivation. Is Patient Motivation an Adherence Deal Breaker? My last post explored the importance of patient motivation as an adherence factor. It concluded that lack of motivation to adhere can be a… Read More »

5 Reasons Why Patient Motivation Is Vital for Adherence

It’s widely accepted that patient motivation is a factor in non-adherence. But just how much of a factor is it? And how does it rank vs other factors? Here are some thoughts on why patient motivation is of primary importance to improving adherence. Improving Adherence Behaviors Isn’t Easy I’d guess we’re all familiar with the old joke about psychiatrists and light bulbs. It goes something like this: Q. How many psychiatrists… Read More »

Simplify Adherence by Identifying Patient Intentions

Progress to improve adherence has been frustratingly slow. Maybe there are just too many options and too much information; making understanding and interpretation difficult? We need to simplify adherence in order to make the breakthroughs needed. Identifying patient intentions can help achieve this. Too Many Pieces in the Adherence Puzzle? Improvements in adherence have been difficult to achieve and progress has been frustratingly slow. To what extent is this lack… Read More »

How to Simplify Adherence Choices for HCPs

Adherence ‘clutter’ – the sheer volume of data on the topic – can be overwhelming. Breaking through this ‘clutter’ to simplify adherence choices is vital to developing practical, everyday solutions that HCPs can use. Breaking through the Adherence Clutter My last post introduced the concept of “adherence clutter”. A term coined to describe the overload of information that surrounds the topic of medication adherence. This wealth of data can be so… Read More »