Adherence and health care costs

被引：529

作者：

Iuga, Aurel O. ^{[1
,2
]}

McGuire, Maura J. ^{[3
,4
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA

[2] Johns Hopkins Univ, Baltimore, MD 21218 USA

[3] Johns Hopkins Community Phys, Baltimore, MD USA

[4] Johns Hopkins Univ, Sch Med, Baltimore, MD 21205 USA

来源：

RISK MANAGEMENT AND HEALTHCARE POLICY | 2014年 / 7卷

关键词：

patient; medication; adherence; compliance; nonadherence; noncompliance; cost;

D O I：

10.2147/RMHP.S19801

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Medication nonadherence is an important public health consideration, affecting health outcomes and overall health care costs. This review considers the most recent developments in adherence research with a focus on the impact of medication adherence on health care costs in the US health system. We describe the magnitude of the nonadherence problem and related costs, with an extensive discussion of the mechanisms underlying the impact of nonadherence on costs. Specifically, we summarize the impact of nonadherence on health care costs in several chronic diseases, such as diabetes and asthma. A brief analysis of existing research study designs, along with suggestions for future research focus, is provided. Finally, given the ongoing changes in the US health care system, we also address some of the most relevant and current trends in health care, including pharmacist-led medication therapy management and electronic (e)-prescribing.

引用

页码：35 / 44

页数：10

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