title: Technology and the healthcare system: implications for patient adherence.
abstract: Patient nonadherence is a growing and costly problem in the healthcare system, especially for patients with chronic illness. Between 25% and 40% of patients are nonadherent to treatment, and estimated costs directly associated with patient nonadherence in the US healthcare system are $290 billion a year. Nonadherence to preventive and treatment regimens is correlated to negative consequences for patients; however, many barriers to the promotion of successful adherence remain. Some such barriers include financial constraints, physical disability, side effects, forgetfulness, age and complex multi-drug regimens. The implementation of technology in healthcare systems is changing the way in which healthcare providers and patients must approach adherence. The following review applies a framework, the Information-Motivation-Strategy Model?, developed by DiMatteo and colleagues, to the field to conceptualise the changing factors affecting patient adherence as global healthcare moves toward increasingly technology-based systems of care.
authors.affiliation: Department of Psychology, University of California, Riverside, CA 92521, USA. juliet.beni@email.ucr.edu
authors.forename: Juliet B
authors.initials: JB
authors.lastname: Beni
mesh_terms: D020811:Biomedical Technology / Q000458:organization & administration*; D002908:Chronic Disease / Q000628:therapy; D057286:Electronic Health Records; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D008962:Models, Theoretical; D009042:Motivation; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods; D011369:Professional-Patient Relations; D013685:Telecommunications