Tag Archives: Counseling

When used in this site, counseling describes advise and guidance provided by physicians, pharmacists, or nurses to help a patient improve their adherence to prescribed medication regimens. Typically this is carried out as an interactive, face-to-face discussion.

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 »

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 »

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 »

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 »