Russo Holly E, Kirsh William D
Sentry Data Systems, USA.
World Hosp Health Serv. 2013;49(3):14-7.
Medication non-adherence is a global epidemic causing countless deaths and billions of dollars wasted unnecessarily in health care. Between 33% to 69% of all medication-related hospital admissions in the USA, are due to poor medication adherence with a resultant increase in the cost of care of over USD 100 billion a year (Senst et al 2001). In less developed parts of the world, medications deserve additional attention, as access to medications as well as out-of-pocket costs play a larger role (Taj et al 2008). To achieve better medication adherence hospitals must employ integrated multifaceted technologies and strategies to improve patient's quality of life, decrease costs and comorbidities, and reduce avoidable admissions and emergency room visits. This article explores what is known about medication adherence and the use of technology tools, including integrated mobile health, EHRs, e-prescribing, social media and medication reminders.
药物治疗依从性不佳是一个全球性问题，导致无数人死亡，并在医疗保健领域造成了数十亿美元的不必要浪费。在美国，所有与药物治疗相关的住院病例中，33%至69%是由于药物治疗依从性差导致的，由此导致每年的医疗费用增加超过1000亿美元（森斯特等人，2001年）。在世界较不发达地区，药物治疗问题值得更多关注，因为药物可及性以及自付费用起着更大的作用（塔伊等人，2008年）。为了提高药物治疗依从性，医院必须采用综合多方面的技术和策略，以改善患者的生活质量，降低成本和合并症，并减少可避免的住院和急诊室就诊。本文探讨了关于药物治疗依从性以及技术工具使用的已知情况，包括综合移动医疗、电子健康记录、电子处方、社交媒体和药物提醒。
