Category Archives: Solutions

Approaches and interventions that have shown, or have the potential to show, improvements in medication adherence.

Adherence Approaches: What If We Have the Wrong Focus?

Some adherence approaches aim to motivate patients by imposing opinions. Other approaches draw out motivations from within the patient. So which should be the more important focus? Recipe for Improved Adherence Approaches? A JAMA editorial appeared last week with the title of: “Ingredients of Successful Interventions to Improve Medication Adherence”.  The article suggested that well-designed interventions should be based on four essential approaches – patient knowledge, counseling and accountability, self-monitoring,… Read More »

Adherence Initiatives – What Have Payers Done for Us Lately?

Health insurers can undoubtedly influence improvements in medication adherence. So what kinds of adherence initiatives are payers actually sponsoring? Read on for answers based on a sample of five leading payer organizations. The short answer is “a lot”! The five payers reviewed were Aetna, Humana, Kaiser Permanente, United Health, and WellPoint. Sources of information were either corporate websites or web search findings. The results were very interesting! Different approaches across… Read More »

Changing Patient Beliefs is Key to Better Adherence

To promote better adherence, should greater emphasis be placed on changing patients’ beliefs? This post explores why changing beliefs may be a key component in interventions to improve medication adherence. Health Psychology as a Route to Better Adherence A news release on adherence and patient beliefs recently caught my eye. It came from Atlantis Healthcare, a company that uses health psychology to encourage better adherence. The rationale for this approach… Read More »

Improving Adherence – Aligning Interventions to Reasons, pt 2

Part 2 of this post examines proven interventions for improving adherence. Then it looks at how these interventions match up to with the ‘top ten’ reasons for non-adherence (see Part 1). Matching interventions to reasons is important, because approaches are then aligned with individual patient needs. Every story needs a beginning, middle, and end. Part 1 of this post represented the beginning; proposing a top ten reasons why patients don’t adhere to… Read More »

Pharmacists Working Hard to Improve Adherence

              Poor medication adherence is a nationwide problem. So which healthcare professionals are working hardest to overcome this issue? The latest NCPA Digest report strengthens pharmacists’ claim to this tag. Strong Pharmacist Support for Adherence Pharmacy chains like Walgreens and CVS have shown strong commitment to improving adherence. Their respective WellTransitions and Pharmacy Advisor programs (see here and here) are examples of this. Now the… Read More »

Are We Looking at Medication Adherence Through the Right Lens?

Are the adherence solutions we’re currently testing too simple for a highly complex problem? If solving the issue of medication adherence were easy, it would have been fixed years ago. The fact there’s still a way to go underlines just how complex a problem it is. Many articles on adherence echo this point. Adherence – A Complex Problem Take for example the reasons, causes, factors, or barriers that underlie non-adherence… Read More »