The Bob Harrington ShowView all posts »
#44: Improving patient adherence to medication with Dr Eric PetersonJan 9, 2012 15:45 EST
Patient adherence to medication has long defied quantification, with many physicians assuming that the cost of medications is the primary factor explaining poor rates of compliance. The MI FREEE trial conducted by Dr Niteesh Choudry, and presented during AHA 2011 offers stunning proof that compliance is a more complicated issue than cost alone and raises numerous issues that our guest Dr Eric Peterson discusses. How do we explain abysmal rates of patient adherence to medication? Should the physician be held responsible for adherence?
Choudhry N, Avorn J, Glynn R, et al. The impact of full coverage for preventative medications after myocardial infarction on recurrent vascular events and health spending: The post-myocardial infarction free Rx event and economic evaluation (MI FREEE) trial. N Engl J Med 2011; DOI: 10.1056/NEJMsa110793. Available at: http://www.nejm.org
Aetna. Aetna launching value-based program that improves medication adherence, cost and outcomes for members who have suffered from heart attacks [press release]. November 14, 2011. Available here.
Goldman L and Epstein AM. Improving adherence—money isn't the only thing. N Engl J Med 2011; DOI:10.1056/nejme1111558. Available at: http://www.nejm.org.
Dr Peterson has received grants for clinical research from Bristol-Myers Squibb, Eli Lilly, Johnson & Johnson, and Sanofi-Aventis
For Dr Harrington's disclosures, click here.