How to Simplify Adherence Choices for HCPs

By | February 5, 2014

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 overwhelming; it’s hard to separate ‘the worthy’ from ‘the weak’.

So how can we break through this “clutter” and simplify adherence choices? A famous quote by the expressionist Hans Hofmann maybe offers one way to address this problem:

“The ability to simplify means to eliminate the unnecessary
so that the necessary may speak.”

Why It’s Necessary to Simplify Adherence for HCPs

Breaking through the ‘clutter’ to simplify adherence choices for HCPs is vital to developing practical, everyday solutions

Simplify Adherence to Overcome the Clutter

How can we separate the ‘necessary’ from the ‘unnecessary’? To address this requires a deeper dive into the needs of the two key parties involved ‒ the healthcare professional (HCP) and the patient.

For this post I’ll focus on the HCP and will follow-up on the patient at a later date.

HCPs are busy. They have many demands on their time. Perhaps too many? Administrative tasks, such as charting, ordering, filling out forms, and dictating, can take up a third of a physician’s workday (see here). All of which puts pressure on face-to-face time with patients.

What HCPs need is for someone to simplify adherence for them. Dare I suggest an ‘adherence for dummies’ type of approach?

Few HCPs have time to wade through all the data for all the many available adherence interventions. They need simple and effective adherence solutions. And ideally these should be solutions that work across a broad range of patient types (eg, different reasons for non-adherence and different diseases).

As an analogy, how many drugs does a doctor regularly use to treat a given chronic condition? My guess is probably somewhere in the range of 2-to-4? Should this become the guiding light to simplify adherence for HCPs? To focus on 2-to-4 relevant and effective adherence interventions?

Typically relevance (eg, high efficacy, good tolerability) is a key factor that influences choice of drugs an HCP will regularly use.  It’s likely that relevance (eg, efficacy and ease of use) will be a key factor in choice of adherence options too?

Practical Ways to Simplify Adherence for HCPs

Let the necessary speak!

Referring back to Hans Hoffman’s quote above, the ‘necessary’ factors to simplify adherence for HCPs could well be:

  • Identifying just 2-to-4 key adherence intervention types
  • That have broad patient applicability (eg, different non-adherence reasons, different conditions)
  • And are relevant (ie, have above average impact on adherence improvement and are easy to use)

That’s not to say that all other interventions are ‘unnecessary’. But perhaps they are ‘less necessary’ than these key interventions.

There will be more on the topic of broad patient applicability in a later post.