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Rx Non Adherence

Rx Non-Adherence - Doctors And Patients Are Seldom On The Same Page When It Comes To Prescribing New Medications Half Of U.S. Adults Take At Least One Rx Medication % of People In U.S. Taking At Least One Medication The Majority Of Seniors >65 Yrs. Take 5 Or More Medications No Rx Medications 5+ Medications 60% 50% 50% 10+ Medications 12% 1+ Rx Medications 0% 10% 20% 30% 40% 50% 60% 70% 45% of Population Has One or More Chronic Conditions 85% of Seniors Have One or More Chronic Conditions Up To 50% Of Patients On Rx Medications Are Non-Adherent An estimated 70% of non-adherence is intentional.' Why? - Patients do not believe their doctor's diagnosis - Patients do not share their doctor's belief about the severity of their condition Patients are concerned that the side affects of taking medication outweigh the benefits Doubts and concerns about new medications are present very early on for intentional non-adherers. Since physicians seldom ask about patient's beliefs or concerns they are not able to address them during the visit. Research has found that patient beliefs and concerns about medications are stronger predictors of patient non-adherence than clinical and sociodemographic factors. . Poor Patient Communications Increases The Risk Of Non-Adherence "The biggest problem with communication is the illusion that it has occurred." Doctors tend to Infomation giving alone overestimate the does not increase amount of information patient adherence - they they give to patients... also need self care skills. Up to 50% of walk out of their doctor's .and underestimate how much information office not understanding what they are told to do. 9 patients really want. Doctors Spend 49 Seconds During The Visit Telling The Patient What They "Need To Know" About Taking A New Medication' Here's A Breakdown Of The % Of Times Doctors Mentioned The Following Subjects To Patients During Visits When Prescribing A New Medication 10 Specific Name of Rx 74% Purpose of Rx 87% How Long To Take Rx 34% Dosage 58% Adverse Effects 35% Cost 9% With doctors spending so little time educating patients about new medications is it really suprising that patient non-adherence is so high? Sources Infographic by Steve Wilkins, MPH © 2011 Smart Health Messaging 1. Health, United States, 2004, with Chartbook on Trends in the Health of Americans. 513 pp. 2. Belcher VN, et a. Views of older adults on patient participation in medication-related decision making. Journal of General Internal Medicine. 2006;21(4):298-303. 3. Anderson GF. Medicare and Chronic Conditions. Sounding Board. NEJM. 32005;53(3):305-9 4. Barber, N. et al. Patients' problems with new medication for chronic conditions. Quality and Safety in Health Care. 2004;13:172-175 5. Westbury, J. Why Do Older People Not Always Take Their Medication? The Pharmaceutical Journal. October 2003. 6. Clifford S. et al. Understanding different beliefs held by a iherers 1nintentional nonadherers, and intentional nonadherers: application of the Necessity-Concerns Framework. Journal of psychosomatic research. 2008;64(1):41-6. 7. Zolnierek K, et al. Physician communication and patient adherence to treatment: a meta-analysis. Medical care. 2009;47(8):826-34. 8. Street L. INFORMATION-GIVING IN MEDICAL CONSULTATIONS : THE INFLUENCE OF PATIENTS 'COMMUNICATIVE STYLES AND PERSONAL CHARACTERISTICS. 1991;32(5):541-548. 9. Heisler M, Bouknight RR, Hayward Ra, Smith DM, Kerr E a. The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of general internal medicine. 2002;17(4):243-52. 10. Tarn DM, Paterniti Da, Kravitz RL, et al. How much time does it take to prescribe a new medication? Patient education and counseling. 2008;72(2):311-9. Infographic by Steve Wilkins, MPH © 2011 Smart Health Messaging

Rx Non Adherence

shared by judithgold on Dec 15
This infographic provides data about the amount of medication doctors provide in comparison with patient adherence rate. This infographic illustrates that there is a inconsistency between the two beca...


Steve Wilkins, MPH


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