Hargis Mary B, Castel Alan D
Department of Psychology, University of California, Los Angeles.
Policy Insights Behav Brain Sci. 2018 Oct;5(2):147-154. doi: 10.1177/2372732218781643. Epub 2018 Aug 21.
More than half of older adults regularly take multiple medications. Rates of medication non-adherence are high, which undermines both patients' health and the economy. Memory and metacognitive factors (such as misplaced confidence) help explain why patients across the lifespan may not understand or follow prescribed regimens. These factors include difficulties in remembering confusing information; patients' and practitioners' potential overconfidence in memory; and misunderstandings about memory. Patients, practitioners, and the public can use these principles to improve memory, enhance understanding, and promote metacognitive accuracy with respect to complex medication information, which may increase the likelihood of adherence.
超过半数的老年人经常同时服用多种药物。药物治疗不依从率很高，这对患者健康和经济都造成了损害。记忆和元认知因素（如过度自信）有助于解释为什么不同年龄段的患者可能不理解或不遵循规定的治疗方案。这些因素包括难以记住令人困惑的信息；患者和医生在记忆方面可能过度自信；以及对记忆的误解。患者、医生和公众可以运用这些原则来改善记忆、增强理解并提高对复杂药物信息的元认知准确性，这可能会增加依从性。
