Interventions aimed at improving performance on medication adherence metrics
- 477 Downloads
Background medication adherence is one determining factor of treatment success. Poor medication adherence mitigates optimum clinical benefits and increases total health care costs. Current evidence suggests that for population-based adherence interventions to be effective, a multidisciplinary, multifactorial approach that can be tailored for each individual should be adopted. In the United States, national organizations such as the National Committee for Quality Assurance and the Centers for Medicare and Medicaid Services include medication adherence as a metric of health care system performance Aim of the Commentary This article provides an overview of efforts at Kaiser Permanente Colorado to impact medication adherence-related metrics. Described interventions are supported by electronic data gathering processes with an emphasis on the role of pharmacists.
KeywordsManaged care program Medicare Medication adherence Pharmacists
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of interest
All authors are employed by KPCO and declare no other conflicts of interest.
- 1.World Health Organization [Internet]. Adherence to long-term therapies: evidence for action. Geneva, Switzerland: World Health Organization; c 2003 [cited 2013 May 22]. Available from: www.who.int/chronic_conditions/en/adherence_report.pdf.
- 14.PQA Pharmacy Quality Alliance [Internet]. Virginia: Pharmacy Quality Alliance; [cited 2013 May 22]. Available from: http://www.pqaalliance.org/.
- 15.Viswanathan M, Golin CE, Jones CD, Ashok M, Blalock S, Wines RCM, et al. Medication adherence interventions: comparative effectiveness. Closing the quality gap: revisiting the state of the science. Evidence Report No. 208. (Prepared by RTI International–University of North Carolina Evidence-based Practice Center under Contract No. 290-2007-10056-I.) AHRQ Publication No. 12-E010-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2012. www.effectivehealthcare.ahrq.gov/reports/final.cfm.
- 32.NCQA [Internet]. [Washington DC]: National Committee for Quality Assurance; [cited 2013 June 6]. Available from: http://www.ncqa.org/HEDISQualityMeasurement.aspx.
- 33.Centers for Medicare and Medicaid Services [Internet]. Baltimore: Centers for Medicare and Medicaid Services; [cited 2013 May 22]. Available from: http://www.cms.gov/.
- 36.Touchette DR, Shapiro NL. Medication compliance, adherence, and persistence: current status of behavioral and education interventions to improve outcomes. J Manag Care Pharm. 2008;14(6):S2–10.Google Scholar
- 38.Schedlbauer A, Davies P, Fahey T. Intervention to improve patients’ drug-taking behavior to lipid lowering drugs. Cochrane Database Syst Rev. 2010;3:004371.Google Scholar