Thursday, August 8, 2019

Medical Adherence in the Elderly


So it's been one year since becoming a Tandigm Scholar and last week I had to present my research in front of a room full of doctors.  Despite being under the weather... I did it. Whew!  I've never been a fan of public speaking so this was looming over me for a while causing stress... I get performance anxiety... 

The topic I chose was on improving medical adherence in the elderly.  Few facts in case you are interested...

25% to 50% of patients do no take their medications as recommended

Poor adherence leads to...
  • Increased morbidity and mortality
  • Accounts for approx. 125,000 deaths and 10% hospitalizations in US annually
  • $100 billion annually spent on US health services due to poor adherence

 

Barriers include...

  • Reviewing full medication information is challenging and time consuming
  • Accurate knowledge of actual home medication is difficult to attain
  • Complex medication instructions
  • Polypharmacy
  • Duration of medication (temporary vs permanent) and withdrawing the medication
  • Adverse effects
  • Problems with keeping medication lists up to date
  • IT systems and poor communication within healthcare systems
  
My project identifies those patients who may benefit from having their medications delivered in a pill pack form...


Then seeks whether adherence is improved leading to positive clinical outcomes...

Having a project to do in addition to the daily ins and outs of patient care adds a layer of purpose and intellectual challenge... with the potential to improve healthcare on a broader scope. For these reasons I was intrigued and couldn't say no when this opportunity came up... I flushed out my thoughts last year in my blog... 

So two more years to go....



Click the following link for the full story:

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