Medication adherence: measurement methods and approaches.

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Bratislava Medical Journal-Bratislavske Lekarske Listy Pub Date : 2024-01-01 DOI:10.4149/BLL_2024_40

Patricia Schnorrerova, Petra Matalova, Martin Wawruch

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Abstract

Medication adherence is crucial for optimal treatment outcomes, yet many patients struggle to follow their prescribed regimens, impacting patients, families, and healthcare systems. Measurement of adherence is vital for effective care planning and intervention. This review explores medication adherence challenges and measurement methods, including therapeutic drug monitoring (TDM), medication event monitoring system (MEMS), analysis of adherence in insurance/pharmacy database, pill counts, and self-reports, each with its advantages and limitations.This review advocates a partnership-based approach to adherence, stressing standardized reporting and team-based care. Adherence is influenced by many factors such as complex regimens, packaging, patient perspectives, side effects. Effectively addressing these factors is crucial for improving patient outcomes. In summary, medication adherence is vital but complex. The article covers various adherence measurement methods to promote medication adherence as an important matter (Tab. 5, Fig. 2, Ref. 91). Text in PDF www.elis.sk Keywords: medication adherence, adherence barriers, primary non-adherence, medication event monitoring system, pill count, self-report.

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坚持用药：测量方法和途径。

坚持用药对于获得最佳治疗效果至关重要，然而许多患者却难以坚持按处方用药，这对患者、家庭和医疗系统都造成了影响。对用药依从性的测量对于有效的护理计划和干预至关重要。本综述探讨了用药依从性面临的挑战和测量方法，包括治疗药物监测（TDM）、用药事件监测系统（MEMS）、保险/药房数据库中的依从性分析、药片计数和自我报告，每种方法都有其优势和局限性。服药依从性受许多因素的影响，如复杂的治疗方案、包装、患者观点、副作用等。有效解决这些因素对于改善患者的治疗效果至关重要。总之，坚持用药至关重要，但也很复杂。文章介绍了各种用药依从性测量方法，以促进用药依从性这一重要事项（表 5，图 2，参考文献 91）。Text in PDF www.elis.sk Keywords: medication adherence, adherence barriers, primary non-adherence, medication event monitoring system, pill count, self-report.

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来源期刊

Bratislava Medical Journal-Bratislavske Lekarske Listy 医学-医学：内科

CiteScore

2.60

自引率

0.00%

发文量

185

审稿时长

3-8 weeks

期刊介绍： The international biomedical journal - Bratislava Medical Journal – Bratislavske lekarske listy (Bratisl Lek Listy/Bratisl Med J) publishes peer-reviewed articles on all aspects of biomedical sciences, including experimental investigations with clear clinical relevance, original clinical studies and review articles.