Category Archives: Stakeholders

Groups that have specific interests in solving the problem of medication adherence.

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 »

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 »

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 »

Nurses and NPs Can Do More to Improve Adherence

Efforts to improve patient adherence are making slow progress. Could nurses and NPs be key factors in accelerating adherence improvements? This post explores reasons why physician practices should look urgently at this option. Nurses Are Well Qualified to Improve Adherence, But Are Underused With over 3 million members, nurses are the largest group in the healthcare workforce. Nurses are increasingly well qualified (see here: “Focus on Education”), with 50% or more holding a… Read More »

Improving Adherence – What Will It Take to Really Move the Dial?

Many recommendations for improving adherence focus on ‘policy’. But are these aimed at the healthcare providers (HCPs) who can make a day-to-day difference? Here are some thoughts on practical approaches that could make big advances in adherence. Need for Practical Approaches to Improving Adherence Numerous healthcare-related bodies have issued numerous reports on ‘policy recommendations’ for improving adherence. They are great documents and they contain many good ideas. However, I can’t help… 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 »

Improving Adherence: Factors Affecting Progress

To speed up improvements in adherence, we need to focus on factors that most impact progress. But which are those factors? This post considers five potential blocks to improvement and assesses their relative effects.  Barriers to Improving Adherence A previous post (see here) suggested five factors that may be slowing advances in medication adherence. These are: Maybe some key adherence information pieces are still missing? Perhaps there’s poor understanding among… Read More »

Physicians and Adherence: the Bad, and the Ugly

Physicians are very well placed to drive improvements in medication adherence. But are they fully engaged in the task? This is the second in a two-part post exploring this question. Part one, ‘the Good’, is here. This second part focuses on: ‘the Bad and the Ugly’. The Story So Far Physicians are a critical cog in the adherence machine. With the focus of healthcare moving to ‘value’, doctors have clear… Read More »

Physicians and Adherence: What Does ‘Good’ Look Like?

Physicians are very well placed to drive improvements in medication adherence. But are they fully engaged in the task? This is the first in a two-part post – “Physicians and Adherence: the Good, the Bad, and the Ugly” – that will explore this question. This part focuses on: What does ‘good’ look like? ‘Volume’-to-‘Value’ and the Role of Adherence With healthcare emphasis shifting to ‘value of care’ and away from… Read More »