Patient-centered priorities for improving medication management and adherence.
OBJECTIVE: The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication management to improve chronic disease treatment. METHODS: Patients, providers, researchers, and other stakeholders (N = 28) identified and prioritized ideas for future research and practice. We analyzed stakeholder voting on priorities and reviewed themes in workshop discussions. RESULTS: Ten priority areas emerged. Three areas were highly rated by all stakeholder groups: creating tools and systems to facilitate and evaluate patient-centered medication management plans; developing training on patient-centered prescribing for providers; and increasing patients' knowledge about medication management. However, priorities differed across stakeholder groups. Notably, patients prioritized using peer support to improve medication management while researchers did not. CONCLUSION: Engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research. PRACTICE IMPLICATIONS: Workshop participants recognized the potential benefits of patient-centered medication management but also identified many challenges to implementation that require additional research and innovation.
McMullen, CK; Safford, MM; Bosworth, HB; Phansalkar, S; Leong, A; Fagan, MB; Trontell, A; Rumptz, M; Vandermeer, ML; Centers for Education and Research on Therapeutics Patient-Centered Medication Management Workshop Working Group, ; Brinkman, WB; Burkholder, R; Frank, L; Hommel, K; Mathews, R; Hornbrook, MC; Seid, M; Fordis, M; Lambert, B; McElwee, N; Singh, JA
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