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Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence.
Bosworth, Hayden B; Fortmann, Stephen P; Kuntz, Jennifer; Zullig, Leah L; Mendys, Phil; Safford, Monika; Phansalkar, Shobha; Wang, Tracy; Rumptz, Maureen H.
Afiliação
  • Bosworth HB; Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA. hayden.bosworth@duke.edu.
  • Fortmann SP; School of Nursing and Department of Psychiatry, Duke University Medical Center, 411 West Chapel Hill Street, Suite 600, Durham, NC, 27701, USA. hayden.bosworth@duke.edu.
  • Kuntz J; Department of Medicine, Duke University Medical Center, Durham, NC, USA. hayden.bosworth@duke.edu.
  • Zullig LL; Kaiser Permanente Center for Health Research, Portland, OR, USA.
  • Mendys P; Kaiser Permanente Center for Health Research, Portland, OR, USA.
  • Safford M; Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA.
  • Phansalkar S; Department of Medicine, Duke University Medical Center, Durham, NC, USA.
  • Wang T; Pfizer Inc. Medical Affairs, New York, NY, USA.
  • Rumptz MH; UNC Division of Cardiology, Chapel Hill, NC, USA.
J Gen Intern Med ; 32(1): 93-100, 2017 01.
Article em En | MEDLINE | ID: mdl-27599489
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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Assistência Centrada no Paciente / Adesão à Medicação Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Relações Médico-Paciente / Assistência Centrada no Paciente / Adesão à Medicação Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2017 Tipo de documento: Article