Abstract

IMPORTANCE OF PHARMACOTHERAPEUTIC ADHERENCE

Sarvesh Singh, Pratap Shankar*, Dheeraj Kumar Singh, Rajendra Nath, Amod Kumar Sachan and Rakesh Kumar Dixit

ABSTRACT

An increased understanding of the reasons for noncompliance or adherence and lack of persistence with prescribed medication is an important step to improve treatment effectiveness, and thus patient health. Explanations have been attempted from epidemiological, sociological and psychological perspectives. Economic models (utility maximization, time preferences, health capital, bilateral bargaining, stated preference, and prospect theory) may contribute to the understanding of medicines-taking behavior. Patient’s adherence consists a complex and multidimensional health issues, globally. Medication adherence can be generally defined as the extent to which a patient takes medication as prescribed by his or her health care provider. A person’s rate of adherence is often expressed as a percentage representing the amount of medication that is taken as prescribed. Adherence rates vary greatly, depending on the type and number of conditions being treated, and are typically lower for chronic versus acute conditions. Nonadherence is frequently a hidden problem, undisclosed by patients and unrecognized by prescribers. Pharmacotherapy is an important component of management which not only improves symptoms but also reduces cardiac remodeling and neuro-endocrine activation to prevent worsening of symptoms and reduces mortality. Disease and medication beliefs inconsistent with a chronic disease were significant predictors of poor medication adherence suboptimal beliefs are potentially modifiable and are logical targets for educational interventions to cure diseases.

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