Medication and Care Plan Adherence Technologies That Improve Patient Outcomes
The costs of caring for chronically ill patients are skyrocketing, and medication non-adherence is a principal driver of these costs. Proper medication adherence means taking the correct amount of the prescribed medication at the proper time. The annual costs of medication non-adherence include $100 billion in unnecessary hospital expenses and $300 billion to the U.S. economy, including 10% to 28% of all hospital stays, 33% of CHF hospital admissions, 75% of schizophrenia hospital admissions, 100% increase in the annual expense for treating Type II Diabetics, and 40% of nursing home admissions. Non-adherence rates range from 20% to 47% in heart, liver and kidney transplant patients, and are one of the strongest predictors of long-term recipient outcomes, including a primary cause of late graft loss and the development of chronic rejection and death. Adherence to HIV antiretroviral therapy (ART) is closely associated with viral suppression, drug resistance and disease progression. Although near perfect adherence is needed for reliable viral suppression, average adherence to HIV antiretroviral therapy is under 70%. There is increasing use and efficacy of drug “cocktails” for conditions such as CHF / CAD, Diabetes with Co-morbidities, HIV / AIDS, Organ Transplantation, Chronic Neuropsychiatric conditions, Oncology, and Asthma/Allergy. Unintentional errors in self-medication are reported in 50-90% patients. A four drug regimen results in a 6% chance of accurate self-administration. Even under the carefully controlled setting of a clinical drug trial, adherence rates are only 43% – 78%, confounding safety and efficacy data. New technologies will be presented that promote and monitor medication and care plan adherence, including research findings that document adherence rates greater than 90% in multiple centers across various disease states. Based upon review of adherence literature, reductions in cost of care and improvements in quality of care associated with improved medication adherence will be presented.
See-B-Kehr’s-Presentaton-Medication-and-Care-Plan-Adherence-Technologies
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