Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence.
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.
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA. hayden.bosworth@duke.edu.|School of Nursing and Department of Psychiatry, Duke University Medical Center, 411 West Chapel Hill Street, Suite 600, Durham, NC, 27701, USA. hayden.bosworth@duke.edu.|Department of Medicine, Duke University Medical Center, Durham, NC, USA. hayden.bosworth@duke.edu.
Hayden B
HB
Bosworth
Kaiser Permanente Center for Health Research, Portland, OR, USA.
Stephen P
SP
Fortmann
Kaiser Permanente Center for Health Research, Portland, OR, USA.
Jennifer
J
Kuntz
Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.|Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Leah L
LL
Zullig
Pfizer Inc. Medical Affairs, New York, NY, USA.|UNC Division of Cardiology, Chapel Hill, NC, USA.
Phil
P
Mendys
Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Monika
M
Safford
Innovation and Clinical Informatics, Clinical Drug Information division of Wolters Kluwer Health, Department of General Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.|Partners Healthcare, Boston, MA, USA.
Shobha
S
Phansalkar
Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Tracy
T
Wang
Kaiser Permanente Center for Health Research, Portland, OR, USA.
Maureen H
MH
Rumptz
D002908:Chronic Disease / Q000628:therapy; D003657:Decision Making; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods; D010043:Outcome and Process Assessment, Health Care; D018802:Patient-Centered Care / Q000379:methods*; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care
clinician education; motivational interviewing; nonadherence; person-centered approach; shared decision-making