Comments for Adherence360 Exploring multiple viewpoints relating to improving medication adherence Tue, 26 Nov 2013 15:57:30 +0000 hourly 1 Comment on Adherence Approaches: What If We Have the Wrong Focus? by AudibleRx Tue, 26 Nov 2013 15:57:30 +0000 Great analysis! Motivating patients to participate in their own pharmaceutical care is definiately the cornerstone to medication adherence. Patients with an increased Health Literacy will have a much better understanding of what they do and don’t know about their medical condidition so that they will be in a position to take educated questions back to their own health care providers. When a pateint understands their condition and their medications; they will also have a clear understaning of the consequences they may face if they do not treat their condition.
Thanks for the post!
Steve Leuck, Pharm.D.

Comment on Improving Adherence – Aligning Interventions to Reasons, pt1 by AudibleRx Tue, 05 Nov 2013 03:59:57 +0000 Hi Steve:
I believe it was Mark Twain that said, “If I would of had more time I would have written a shorter letter”. You have taken a tremendously long and arduous task and painstakingly condensed it into a brief and concise adherence tool. I understand all the effort it takes to put so much work into a readable document that means something, and doesn’t waste space with extra words. I appreciate the results of your effort.
Steve Leuck, Pharm.D.

Comment on Improving Adherence – What Will It Take to Really Move the Dial? by AudibleRx Fri, 25 Oct 2013 15:42:07 +0000 Steve, I am not quite sure how it happens at the Big Box store level; however, I am in a small clinic pharmacy so I am regualrly involved in the refill process. When patients are just starting out on new medications I find it fairly regular that physicians will only prescribe 2 or 3 refills, with the idea that the pharmacy will need to call for refill authorization in a couple months. After multiple discussions with physicians, this is one way to assure that the patient is actually taking their medications. And yes, psychiatrists, in my community, are much more aware of their patients adherence than any other specialty.
Keep up the good work.

Comment on Improving Adherence – What Will It Take to Really Move the Dial? by Steve Morris Fri, 25 Oct 2013 14:57:01 +0000 Hi Steve, Thanks for the encouragement! Bringing all the adherence threads together in a practical way is exactly the vision that motivated me to start Adherence360. So it’s good to get your reinforcement.

Interested in your comment that doctors follow up on refill frequency. This again seems a very ‘practical’ thing to do. Do other pharmacist colleagues find the same thing? I guess too that psychiatrists are more conditioned to think about adherence as depression and psychotic disorders are factors for nonadherence?

Comment on Improving Adherence – What Will It Take to Really Move the Dial? by AudibleRx Fri, 25 Oct 2013 14:32:00 +0000 Steve:
I just recently found your blog and I find it a fantastic inspiration! Thanks for taking the time to bring all of the avenues for adherence into one location. You bring a very “hands on” practical approach to the situation.

Yes, physicians participating in the adherence equation will definitely help. As a practicing community pharmacist, I encounter quite a few physicians (especially psychiatrists) who are intimately involved with how frequently patients are receiving their refills. Regularly the physician will only provide 2 or 3 months’ worth of refills so that they may be reminded when the patient needs a refill. This prompts them to check their records and make sure the patient is on time. If there is a discrepancy, the physician then requires an office visit. The physician may not even realize it; however, they are actively participating in a medication adherence program.

I have chosen to participate in the area of Health Literacy as my niche of helping to increase adherence. With over 72% of all patients taking prescription medications having some sort of health literacy limitation, there is definitely a need for greater education. Patients who understand their medication therapy are more likely to participate in their pharmaceutical care.

The process of health literacy and #meded begins when the patient sees their physician. This process then continues through to the pharmacy when the patient picks up their prescriptions and HOPEFULLY receives a full consultation with their community pharmacist. When the patient gets home and has their medication in front of them is where “the rubber meets the road”. Patients then need some sort of follow up form of medication education to enhance their Health Literacy and enable them to call their health care providers with educated questions about their therapy.

There are multiple ways to receive medication education.
Medication education requires a full team approach, including the physician, pharmacist, family, caregiver and patient. Everyone needs to take some of the responsibility.

Thanks for all your great articles!
Steve Leuck, Pharm.D.

Comment on Pharmacists Working Hard to Improve Adherence by @RxTran Tue, 22 Oct 2013 15:40:37 +0000 Lack of understanding is a significant reason why many patients do not adhere to medication regimens. This is especially true for limited English proficiency (LEP) patients that do not understand pharmacists counseling, medication information and directions for use that are given in English only. Eliminating the language barrier between pharmacies and non-English speaking patients is a solution to boosting medication adherence.

We provide affordable and easy to use pharmacy language services such as on-demand phone interpreting and translated medication information sheets, directions for use (SIGs) and auxiliary warning labels (AWL) that can be printed directly onto prescription labels (

If patients don’t understand their medication information and directions for use, they cannot adhere to prescribed regimens. LEP patients are often overlooked when it comes to medication adherence.