Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence

J Gen Intern Med. 2017 Jan;32(1):93-100. doi: 10.1007/s11606-016-3851-7.

Abstract

Medication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., involving patients and their families in planning their health care) is increasingly emphasized as a promising approach for improving medication adherence, but clinician education around what this might look like in a busy primary care environment is lacking. We use a case study to demonstrate key skills such as motivational interviewing, counseling, and shared decision-making for clinicians interested in providing patient-centered care in efforts to improve medication adherence. Such patient-centered approaches hold considerable promise for addressing the high rates of non-adherence to medications for chronic conditions.

Keywords: clinician education; motivational interviewing; nonadherence; person-centered approach; shared decision-making.

Publication types

  • Case Reports

MeSH terms

  • Chronic Disease / therapy
  • Decision Making
  • Female
  • Humans
  • Hypertension / drug therapy
  • Medication Adherence / psychology*
  • Middle Aged
  • Motivational Interviewing / methods
  • Outcome and Process Assessment, Health Care
  • Patient-Centered Care / methods*
  • Physician-Patient Relations*
  • Practice Patterns, Physicians'
  • Primary Health Care