stanford health waiting room
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Medical Non-
AdherencePatient Non-Adherence to Prescribed
Medication and Treatment
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What is Non-Adherence?
In Medicine, adherence (or compliance) describes the degree to which a patient correctly follows medical advice.
About 75% of adults are non-adherent in at least one way!
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The Consequences of Non-Adherence
waste of medication and money
disease progression
reduced functional abilities/general health deterioration
a lower quality of life
patient/doctor distrust
increased use of medical resources (e.g. nursing homes, hospitals, emergency transport, etc.)
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Economic Effects
23% of nursing home admissions due to noncompliance. Estimated cost: $31.3 billion Patients affected: 380,000
10% of hospital admissions due to noncompliance. Total cost: $15.2 billion Patients affected: 3.5 million
Altogether, the economic impact of non-adherence is estimated to cost $100 billion annually.
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Prescriptions
Just under 50% of Americans will have used at least one prescription drug in the last month.
About 50% of the 2 billion prescriptions filled each year are not taken correctly .
1/3 of patients take all their medicine, 1/3 take some, 1/3 don't take any at all (Rx prescription never filled ).
Most deviations in taking medication occur as omission of doses (rather than additions) or delays in the timing of doses.
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A Closer Look
Why don’t people follow their prescribed treatments? What are the real causes?
Self-Apathy
Money
Inability
Skepticism
ForgetfulnessComplexity
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What’s Wrong
?
There are many products available to help patients follow prescription regimens. Why haven’t they alleviated the problem?
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User Groups
The factors behind non-adherence are not the same for everyone.
Elderly patients often feel overwhelmed with their treatment (many will take 10+ different pills daily).
Patients living on fixed income are more affected by price changes.
Patients living alone often lack a support system.
Children suffer from the inability to treat themselves in many cases.
Dependent on someone else remembering their treatment.
Children often don’t understand why they are being exposed to finger pricks, bad-tasting medicine, etc.
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User Groups
Elderly
Self-Apathy
Money
Complexity
Forgetfulness
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User Groups
Children
Inability
Forgetfulness
Skepticism
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Reframe
What are the specific factors behind the problem?
How will those factors be addressed?
What comes next?
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Where we go from here…