推进药物依从性的科学和实践。
Advancing the Science and Practice of Medication Adherence.
机构信息
Division of AIDS Research, National Institute of Mental Health, Bethesda, MD, USA.
Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA.
出版信息
J Gen Intern Med. 2018 Feb;33(2):216-222. doi: 10.1007/s11606-017-4198-4.
Abstract
Medication adherence remains a significant unmet challenge for optimizing patient outcomes. Recent advances in the conceptualization, measurement, and support of medication adherence offer fresh opportunities to make a meaningful impact on adherence-related behavior and outcomes. These advances emphasize the multifaceted and dynamic nature of medication adherence, provide novel methods for monitoring medication adherence in clinical care, and articulate a set of multilevel strategies to more effectively improve and sustain medication adherence. Here, we offer recommendations for how clinicians can better engage with, and benefit from, these innovations to improve patient medication adherence and associated treatment outcomes.
摘要
药物依从性仍然是优化患者治疗效果的重大未满足的挑战。近年来，在药物依从性的概念化、测量和支持方面的进展，为改善与药物依从性相关的行为和结果提供了新的契机。这些进展强调了药物依从性的多方面和动态性质，为临床护理中监测药物依从性提供了新的方法，并阐述了一系列多层次的策略，以更有效地改善和维持药物依从性。在这里，我们为临床医生提供了一些建议，以便他们更好地参与并受益于这些创新，从而提高患者的药物依从性和相关的治疗效果。
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