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Created with Fabric.js 1.4.5 MEDICATION NON-ADHERENCE IN THE U.S. Did you know 3 out of 4 of all patients in the U.S. failto adhere to their prescribed medications ? Some factors affecting adherence Provider barriers Patient barriers - limited consultation time; not enough time to review all meds- unaware of options for lower-cost medicines- hard to reach in case of change of prescription- lack of bilingual staff- unaware of health literacy issues - complexity: too many medications- high cost: lack of affordable alternatives- Not understanding instructions- Embarrassment: afraid of being stigmatized- pharmacy is too far or not easily accessible Proposed solutions - review all medications and reduce their number or amounts when possible to avoid overdose- emphasize long-term benefits of taking medications correctly- use the teach-back or ask-tell-ask method to ensure patients understand- partner with or prescribe medications from pharmacies that use refill reminder systems- get informed about prescription assistance programs and offer these to patients- make sure all medications are dispensed from one pharmacy and that they are all ready to pick up at the same time- Use visual aids and plain language and make use of any language services/interpreters in your health center whenever possible- increase staff awareness of patient literacy issues - 32 million Americans use 3 or more medicines daily- half of the adults over 65 have a minimum of 5 prescription drugs, ranging 10-19 pills/day- bewteen forgetfulness, confusion and ambivalence to take the prescribed medications, the problem cost approximately $290 billion in emergency room visits and other avoidable medical expenses- noncompliance results in 125,000 deaths per year - ask your doctor or pharmacist 3 questions: Why do I need to take this medication? How exactly should I take it? What happens if I don't take it correctly or at all?- make sure you understand side effects or consequences of non-adherence- ask your doctor about affordable and accessible alternative or generic medications- use the "brown bag" technique; bring a bag with all your medications to each and every consultation, so your doctor/pharmacist can review and prescribe your medications accordingly
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