Compliance – Easy to talk about, but hard to do!
o Drug Compliance – definition
o Same as compliance with doctor visits, lab draws, device use, BP measurements, BG measurements
o Take medications as prescribed by your doctor
o The best drug taken for the right reasons is no good, if it is not taken
o Education is primary method
o History
o A problem for decades
o No general solution
o Unintentional non-adherence
o https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-98
o 62% forgot
o 37% ran out of medications
o 23% careless about taking medications
o Barriers
o Why?
o Low perceived need
o Affordability
o Worse self-rated health
o Youth
o Prescriber/Pharmacists
o Cost
o Self-reporting
o Time to track pill counts
o Refill messages
o Time for education
o Scheduling
o 1-2x/day > 3-4x/day
o Devices
o Memory
o Calendars
o Automation – tops of medication bottles, app alerts
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