BACKGROUND: Poor medication adherence among patients with chronic diseases can result in complications and increased health care expenditures. An outpatient pharmacy clinical service (OPCS) program targeted nonadherent diabetes mellitus (DM) and/or coronary artery disease (CAD) patients with hemoglobin A1c (HbA1c) and/or low-density lipoprotein cholesterol (LDL-C) outside clinical goals. Pharmacists engaged identified patients with a face-to-face B-SMART consult, a consultation methodology to identify Barriers to medication adherence, work on Solutions to identified barriers, Motivate patients, recommend Adherence tools, reinforce the pharmacist-patient Relationship, and Triage if needed, to other services such as health education to improve outcomes.
IntroductionDespite the favorable efficacy associated with osteoporosis medications, patient adherence remains suboptimal. Adherence rates to osteoporosis medications range from about 40 to 70 percent. 1 Reasons for nonadherence are numerous and may include medication side effects, dosing requirements, and a perceived lack of benefit for an asymptomatic disease. Poor adherence is associated with increased fracture risks, and interventions designed to reduce fractures, including improved
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