Only about 50 percent of Americans typically take their medicines as prescribed,
according to a report by the National Council on Patient Information and Education.
Factors that contribute to medication non-compliance include the cost of prescriptions,
the impact of side effects, managing complex medication regimens and forgetfulness.
Poor medication adherence has an impact on both the patient and the healthcare
system as a whole Ė patients who donít take their medications as prescribed
are more likely to experience poor health and increased risk for comorbidities,
resulting in preventable healthcare resource utilization, including physician
office visits, emergency room visits and even hospitalizations.
In Patient-Centered Models in Medication Adherence:
Reducing Costs and Non-Compliance through Health
Behavior Change, Connie Commander, immediate
past president of the Case Management Society of America
and president, Commanderís Premier Consulting Corporation,
and Thom Stambaugh, chief pharmacy officer and vice
president of clinical programs and specialty pharmacy, CIGNA
Pharmacy Management, examine common barriers to medication
adherence and present the initiatives that have increased patient
compliance with medication regimes for their organizations.
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Throughout this 35-page report, Commander and Stambaugh describe the collaborative
efforts of case managers, disease managers and health coaches to identify individuals with
medication adherence issues and reduce the negative medical and financial consequences
of medication non-compliance, including its link to 20 percent of preventable adverse drug
events. They provide details on:
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