Medication adherence: emerging use of technology
- 2 July 2011
- journal article
- review article
- Published by Wolters Kluwer Health in Current Opinion in Cardiology
- Vol. 26 (4), 279-287
- https://doi.org/10.1097/hco.0b013e328347c150
Abstract
Purpose of review Adherence to proven, effective medications remains low, resulting in high rates of clinical complications, hospital readmissions, and death. The use of technology to identify patients at risk and to target interventions for poor adherence has increased. This review focuses on research that tests these emerging technologies and evaluates the effect of technology-based adherence interventions on cardiovascular outcomes. Recent findings Recent studies have evaluated technology-based interventions to improve medication adherence by using pharmaceutical databases, tailoring educational information to individual patient needs, delivering technology-driven reminders to patients and providers, and integrating in-person interventions with electronic alerts. Cellular phone reminders and in-home electronic technology used to communicate reminder messages have shown mixed results. Only one study has shown improvement in both adherence and clinical outcome. Current trials suggest that increasing automated reminders will complement but not replace the benefits seen with in-person communication for medication taking. Summary Integration of in-person contacts with technology-driven medication adherence reminders, electronic medication reconciliation, and pharmaceutical databases may improve medication adherence and have a positive effect on cardiovascular clinical outcomes. Opportunities for providers to monitor the quality of care based on new adherence research are evolving and may be useful as standards for quality improvement emerge.Keywords
This publication has 100 references indexed in Scilit:
- Telemonitoring in Patients with Heart FailureNew England Journal of Medicine, 2010
- Self-management Counseling in Patients With Heart FailureJAMA, 2010
- Primary Care Clinicians' Experiences With Treatment Decision Making for Older Persons With Multiple ConditionsArchives of Internal Medicine, 2010
- Antihypertensive Medication Adherence, Ambulatory Visits, and Risk of Stroke and DeathJournal of General Internal Medicine, 2010
- Medication Adherence is a Mediator of the Relationship Between Ethnicity and Event-Free Survival in Patients With Heart FailureJournal of Cardiac Failure, 2009
- Physician and Pharmacist Collaboration to Improve Blood Pressure ControlArchives of Internal Medicine, 2009
- Factors Associated With Exacerbation of Heart Failure Include Treatment Adherence and Health Literacy SkillsClinical Pharmacology & Therapeutics, 2009
- A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global PopulationNew England Journal of Medicine, 2009
- Medication Compliance and Persistence: Terminology and DefinitionsValue in Health, 2008
- The significance of compliance and persistence in the treatment of diabetes, hypertension and dyslipidaemia: a reviewInternational Journal Of Clinical Practice, 2007