title: Patient-centered priorities for improving medication management and adherence.
abstract: OBJECTIVE
  The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication management to improve chronic disease treatment.
  
  
  METHODS
  Patients, providers, researchers, and other stakeholders (N = 28) identified and prioritized ideas for future research and practice. We analyzed stakeholder voting on priorities and reviewed themes in workshop discussions.
  
  
  RESULTS
  Ten priority areas emerged. Three areas were highly rated by all stakeholder groups: creating tools and systems to facilitate and evaluate patient-centered medication management plans; developing training on patient-centered prescribing for providers; and increasing patients' knowledge about medication management. However, priorities differed across stakeholder groups. Notably, patients prioritized using peer support to improve medication management while researchers did not.
  
  
  CONCLUSIONS
  Engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research.
  
  
  CONCLUSIONS
  Workshop participants recognized the potential benefits of patient-centered medication management but also identified many challenges to implementation that require additional research and innovation.
authors.affiliation: Center for Health Research, Kaiser Permanente Northwest, Portland, OR USA. Electronic address: Carmit.McMullen@kpchr.org.
authors.forename: Carmit K
authors.initials: CK
authors.lastname: McMullen
authors.affiliation: Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA.
authors.forename: Monika M
authors.initials: MM
authors.lastname: Safford
authors.affiliation: Duke University, Durham, NC USA.
authors.forename: Hayden B
authors.initials: HB
authors.lastname: Bosworth
authors.affiliation: Partners Healthcare Systems, Inc., Wellesley, USA; Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA.
authors.forename: Shobha
authors.initials: S
authors.lastname: Phansalkar
authors.affiliation: Healthy Motivation, Santa Barbara, CA USA.
authors.forename: Amye
authors.initials: A
authors.lastname: Leong
authors.affiliation: Center for Patients and Families, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA.
authors.forename: Maureen B
authors.initials: MB
authors.lastname: Fagan
authors.affiliation: Agency for Health Care Research and Quality, Rockville, MD USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Trontell
authors.affiliation: Center for Health Research, Kaiser Permanente Northwest, Portland, OR USA.
authors.forename: Maureen
authors.initials: M
authors.lastname: Rumptz
authors.affiliation: Center for Health Research, Kaiser Permanente Northwest, Portland, OR USA.
authors.forename: Meredith L
authors.initials: ML
authors.lastname: Vandermeer
authors.affiliation: Cincinnati Children's Hospital and Medical Center, Cincinnati, USA.
authors.forename: William B
authors.initials: WB
authors.lastname: Brinkman
authors.affiliation: National Consumers League, Washington, USA.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Burkholder
authors.affiliation: Patient-Centered Outcomes Research Institute, Washington, USA.
authors.forename: Lori
authors.initials: L
authors.lastname: Frank
authors.affiliation: Cincinnati Children's Hospital and Medical Center, Cincinnati, USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Hommel
authors.affiliation: Duke University, Durham, USA.
authors.forename: Robin
authors.initials: R
authors.lastname: Mathews
authors.affiliation: Center for Health Research, Kaiser Permanente Northwest, Portland, USA.
authors.forename: Mark C
authors.initials: MC
authors.lastname: Hornbrook
authors.affiliation: Cincinnati Children's Hospital and Medical Center, Cincinnati, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Seid
authors.affiliation: Baylor College of Medicine, Houston, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Fordis
authors.affiliation: Center for Communication and Health, Northwestern University, Chicago, USA.
authors.forename: Bruce
authors.initials: B
authors.lastname: Lambert
authors.affiliation: Merck & Co., Inc., New York, USA.
authors.forename: Newell
authors.initials: N
authors.lastname: McElwee
authors.affiliation: Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, USA; Birmingham Veterans Affairs Medical Center, Birmingham, USA.
authors.forename: Jasvinder A
authors.initials: JA
authors.lastname: Singh
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000188:drug therapy; D003256:Community Participation; D003226:Congresses as Topic; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D010347:Patient Care Planning; D018802:Patient-Centered Care / Q000379:methods*; D012106:Research
keywords: Adherence; Chronic disease; Medication management; Patient-centered research; Stakeholder engagement