Interventions to Improve Adherence to Self-administered Medications for Chronic Diseases in the United States: A Systematic Review
Por: Meera Viswanathan, PhD; Carol E. Golin, MD; Christine D. Jones, MD, MS; Mahima Ashok, PhD; Susan J. Blalock, MPH, PhD; Roberta C.M. Wines, MPH; Emmanuel J.L. Coker-Schwimmer, MPH; David L. Rosen, MD, PhD; Priyanka Sista, BA y Kathleen N. Lohr, PhD. Ann Intern Med. 2012;157(11):785-795.
Although many efficacious medical treatments exist, a recent Institute of Medicine report identified a gap between current treatment success rates and those believed to be achievable. This gap has been attributed partly to lack of patient adherence to recommended treatment. Poor medication adherence is common. Studies have consistently shown that 20% to 30% of medication prescriptions are never filled and that approximately 50% of medications for chronic disease are not taken as prescribed. This lack of adherence has dramatic effects on health (5, 7–16). In the United States, it is estimated to cause approximately 125 000 deaths, at least 10% of hospitalizations (5), and a substantial increase in morbidity and mortality. [Actualizado: 06 de septiembre de 2013].
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