AHA 2010: How Can You Get Your Patients to Take Their Meds?
According to Duke University cardiologist Christopher Granger, MD, improving drug adherence is one of the most important opportunities in all of medicine to improve public health. “We have proven approaches, but they are not as systematically applied to our patient populations as they should be,” he said during a presentation at the American Heart Association’s Scientific Sessions 2010. Michael Ho, MD, PhD, cardiologist at the Denver Veterans Administration Medical Center, pointed to studies that show that nearly one in four patients do not fill their initial prescription. Studies also show that even if a patient fills the original prescription, adherence declines over time. Ho said that low adherence increases risk of coronary revascularizations, cardiovascular mortality, and all-cause mortality. Causes for non-adherence are complex and include mistrust of providers or drugs, cognitive impairment, increasing co-payments, lack of social support, complex dosing schedules and belief th...