Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence.

Bosworth HB, Fortmann SP, Kuntz J, Zullig LL, Mendys P, Safford M, Phansalkar S, Wang T, Rumptz MH. Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence. Journal of general internal medicine. 2017 Jan 1; 32(1):93-100.

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Abstract:

Medication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., involving patients and their families in planning their health care) is increasingly emphasized as a promising approach for improving medication adherence, but clinician education around what this might look like in a busy primary care environment is lacking. We use a case study to demonstrate key skills such as motivational interviewing, counseling, and shared decision-making for clinicians interested in providing patient-centered care in efforts to improve medication adherence. Such patient-centered approaches hold considerable promise for addressing the high rates of non-adherence to medications for chronic conditions.