Schwartz David D, Stewart Sean D, Aikens James E, Bussell Jennifer K, Osborn Chandra Y, Safford Monika M
Baylor College of Medicine, Houston, TX.
Park Nicollet Health Services, Minneapolis, MN.
Clin Diabetes. 2017 Jan;35(1):35-42. doi: 10.2337/cd16-0007.
Nonadherence to diabetes medications is a primary contributor to health complications and avoidable hospitalizations. This article discusses the evidence for taking a person-centered (as opposed to illness-centered) approach to promoting medication adherence among diabetes patients, provides suggestions for ways in which diabetes clinicians can best promote medication adherence, and argues for needed changes in how health care systems support providers in their efforts at adherence promotion.
不坚持服用糖尿病药物是导致健康并发症和可避免住院的主要因素。本文讨论了采取以患者为中心(而非以疾病为中心)的方法来促进糖尿病患者药物依从性的证据,为糖尿病临床医生促进药物依从性的最佳方式提供了建议,并主张医疗保健系统在支持提供者促进依从性的努力方面需要做出改变。