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Disadvantages Of Adherence To Medication

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1.0 Introduction “The degree to which the person’s behaviour corresponds with the agreed recommendations from a health care provider” is the definition od medication adherence which is defined by World Health Organization (WHO).2 Besides, the crucial part of patient care is adherence to medication and it is indispensable for reaching clinical goals.1 By achieving adherence to medication among patient, it will be the primary determinant of treatment success.2 According to the report from World Health Organization (WHO), in the developed countries, there is only 50% of the patients with inactive disease are adherence to the medication. Hence, it is a significant public health issue as medication nonadherence leads to poor health outcomes, …show more content…

Self-report questionnaires should be filled and completed by patients themselves or healthcare providers. But, the drawback of this method is it is difficult for the patients who are low literacy levels to complete the questionnaires themselves. Furthermore, there are a few standards questionnaires and scales such as Brief Medication Questionnaire, Hill-Bone Compliance Scale (Hill-Bone), Eight-Item Morisky Medication Adherence Scale (MMAS-8), Medication Adherence Questionnaire (MAQ), The Self-Efficacy for Appropriate Medication Use Scale (SEAMS) and Medication Adherence Report Scale …show more content…

Economic factors play a role in it. If patients’ income is low or having financial problems, he or she may be unable to pay for his or her medicines, thus, by this, nonadherence is detected. 6 2.2.5 Measures involving Electronic Medication Packaging (EMP) Devices This EMP devices are the adherence-monitoring devices which are incorporated into the packaging of a prescription medication. There are some common features which the devices are shared which are recording the dosing events and store the records of adherence. Besides, they signal time for the next dose by audio-visual reminders. They have digital displays, real-time monitoring and feedback on adherence performance. By using these devices, nonadherence can be measured too. The most common EMP device is Medication Events Monitoring System (MEMS). 3 2.2.5.1 Medication Events Monitoring System (MEMS) A microprocessor embedded would record the time and date whenever the medication is removed from the container, assuming the patient has taken that specific dose at that particular time is the basic principle of MEMS. In addition, bottle cap openings is used to measure nonadherence and also ensuring adherence to therapeutic

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