Drug Adherence

Question 1

what are some patient barriers to drug concordance?

Answer 1

• poor knowledge of medications
• polypharmacy
• lifestyle and schedule
• delayed symptoms of poor control
• independent pausing or stopping of drug (due to lack of knowledge, fear, misinformation)

Question 2

what are some healthcare professional barriers?

Answer 2

• no time to review instructions or prescription before discharge
• little knowledge of patients lifestyle and environment
• creates an authoritative relationship of instructing

Question 3

what are some drug related barriers?

Answer 3

• complex medications or dosage schedule
• adverse effects
• the duration or course of treatment

Question 4

what are some patient facilitators?

Answer 4

• understanding the medications and what it does
• medication counselling for caregivers
• pharmacists intervening for better coaching

Question 5

what are some healthcare professional facilitators?

Answer 5

• continuity of care - permanent HCP and patient relationship
• equal HCP and patient relationship when coaching (accommodating to their lifestyle while maintaining therapeutic effect of drug)
• setting achievable goals
• practicing supervised self-administration before discharge