The B-SMART Appropriate Medication-Use Process: A Guide for Clinicians to Help Patients-Part 2: Adherence, Relationships, and Triage

Abstract

Mission:The Permanente Journal is published for physicians, practitioners, and nurses to create and to deliver superior health care through the principles and benefits of Permanente Medicine.Permanente Medicine is preventive, innovative, evidence-based, population care practiced by a multispecialty group, using an electronic health and medical record, and focused on patient relationships and outcomes.

Developing a Model of Medication Adherence among Filipino Elderly

“…This is underpinned by the effectiveness of communication and the resulting degree of comprehension concerning the prescribed treatment regimen. This supports other research outcomes implying that the elderly will be more open about their medication use, and more likely to disclose issues and barriers that hinder appropriate adherence behavior, when there is presence of trust with the physician (Oyekan et al, 2009). In contrast, findings of a previous study about the relation of increased patient-clinician trust with increased medication adherence did not support this hypothesis; yet, claims that factors like varying degrees of trust and small sample size may have played a role in the lack of a statistically significant association.…”

Adherence to Secondary Stroke Prevention Therapies in Ischemic Stroke Patients at Teaching Hospital in Central Java Indonesia

“…For the first prescription, all of patients or 100% of patients took the medication, but for the next prescription, only around 88% took the medicines and the next, only approximately 47% patient continued to take their medication. A study in United States reported that 22% of patients take less of their medication than is prescribed [14].…”

“…Second, it is pharmacist-related barriers for instance limited time to review medication refill patient histories, face difficulty to communicate with prescribers, and has limited access on patient medical record especially ambulatory patients. The last barrier is patient-related barriers such as complexity of medication regimen, high cost, concern about side effects, or adverse effects, receives contradictory information from health-care providers, a lack of knowledge about the medications, forgetfulness, and the other unexplained factors [14].…”

The role of integrated medical and prescription drug plans in addressing racial and ethnic disparities in medication adherence

“…A trusted physician-patient relationship, care continuity, and integrated care-all of which may be improved by regular primary care access-are associated with better medication adherence. 24,[42][43][44][45] However, Black individuals are more likely to live in communities without adequate primary care access. 22 This lack of access to a regular primary care provider disproportionately and directly contributes to medication nonadherence among minority individuals.…”