Patient Medication Adherence and Physician Agency Problems

2015 ◽  
Author(s):  
Daniel W. Sacks
Author(s):  
Nimmy Elizabeth George ◽  
Smrithy Sunny ◽  
Anitta Mariyam Sam ◽  
Aleena Susan Sabu ◽  
Prudence A Rodrigues

  Objectives: To assess the patient medication adherence using 8 item morisky medication adherence scale (MMAS). To categorize patients based on their adherence to antidiabetic medications into low, medium, and high adherent. To provide educational interventions such as patient counseling using teach-back method, patient medication information leaflet, and audio-visual aids and thus to improve the patient medication adherence.Methods: After obtaining informed consent from the patients, data of the patients were recorded in data collection forms. Their adherence to antidiabetic medication was evaluated using 8 item MMAS and patients were categorized into low, medium, and high adherence groups based on the score. Counseling was done based on the categorization (high, medium, and low). During review, again adherence was rechecked using 8 item MMAS.Results: Medication adherence was measured using 8 item MMAS on review and adherence was found to be improved using different patient counseling methods according to their adherence category. Improvement in score within low adherence group was found to be 83.87%; improvement of the low adherence group to medium adherence group was 16.12%. Improvement within the medium adherence group was 82.14% and from medium adherence to high adherence group was 17.85%.Conclusion: Patient counseling can improve adherence in type 2 diabetes mellitus patients, which in turn help patients in achieving optimal glycemic control.


Author(s):  
Amanda Winters ◽  
Tara Esse ◽  
Archita Bhansali ◽  
Omar Serna ◽  
Shivani Mhatre ◽  
...  

BMJ Open ◽  
2016 ◽  
Vol 6 (2) ◽  
pp. e009610 ◽  
Author(s):  
Wendy Clyne ◽  
Comfort Mshelia ◽  
Sarah McLachlan ◽  
Peter Jones ◽  
Sabina de Geest ◽  
...  

2021 ◽  
Vol 9 ◽  
Author(s):  
Junli Zhu ◽  
Qingzhi Huang ◽  
Wei Lu ◽  
Yun Chen ◽  
Bin Li ◽  
...  

Background: Nowadays, mental health problems have become a major concern affecting economic and social development, with severe mental health disorders being the top priority. In 2013, Beijing began to implement the Community Free-Medication Service policy (CFMS). This article aims to evaluate the effect of the policy on medication adherence.Methods: In this study, multi-stage sampling was used to select representative patients as samples. Some of the baseline data were obtained by consulting the archives, and information about patient medication adherence measured by Brooks Medication Adherence Scale was obtained through face-to-face interviews. Logistic regression was used to examine the impact of the policy.Results: Policy participation had a significant positive impact on medication adherence (OR = 1.557). The effect of policy participation on medication adherence in the Medication-only mode and Subsidy-only mode were highly significant, but it was not significant in the Mixed mode.Conclusion: This study found that the CFMS in Beijing as an intervention is effective in improving the medication adherence of community patients. However, the impact of the policy is not consistent among service modes. Reinforcement magnitude and frequency should be considered when designing reinforcement interventions.


2020 ◽  
Vol 28 (4) ◽  
pp. 413-414
Author(s):  
Fatima Mohamed Matar Abdalla Alzaabi ◽  
Klaithem Saif Rashed Saif Almheiri ◽  
Dalia Yousef Mohamed Al‐Saeedy ◽  
Seeba Zachariah

2018 ◽  
Vol 1 (7) ◽  
pp. e184196 ◽  
Author(s):  
Jeffrey J. Sutherland ◽  
Ryan D. Morrison ◽  
Candace D. McNaughton ◽  
Thomas M. Daly ◽  
Stephen B. Milne ◽  
...  

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