“Drugs don’t work if people don’t take them.”

-C. Everett Koop

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Medication Adherencenoun | medication adherence The patient’s conformance with the providers recommendation with respect to timing, dosage, and frequency of medication-taking during the prescribed length of time.

Medication Adherencenoun | medication adherence The patient’s conformance with the provider’s recommendation with respect to timing, dosage, and frequency of medication-taking during the prescribed length of time.

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Medication prescriptions never filled: 20% – 30%

Sources: http://scriptyourfuture.org/wp-content/themes/cons/m/release.pdf ; Osterberg 2005, NEJM; Ho 2009, Circulation

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Medication Adherencenoun | medication adherence The patient’s conformance with the providers recommendation with respect to timing, dosage, and frequency of medication-taking during the prescribed length of time.

Medication not continued as prescribed in about 50% of cases.

Sources: http://scriptyourfuture.org/wp-content/themes/cons/m/release.pdf ; Osterberg 2005, NEJM; Ho 2009, Circulation

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The World Health Organization estimates that by 2020 157 million Americans will be affected by at least one chronic condition requiring medication therapy

The World Health Organization estimates that by 2020 157 million Americans will be affected by at least one chronic condition requiring medication therapy

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Poor adherence to heart failure medications increased the number of cardiovascular-related emergency department visits

Sources: http://scriptyourfuture.org/wp-content/themes/cons/m/release.pdf ; Osterberg 2005, NEJM; Ho 2009, Circulation

Time

Number of

ER Visits

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Sources: Ho 2009, Circulation; Edmondson 2013, Br J of Health Psychology; George & Shalansky 2006, Br J Clin Phar

Every year 125,000 deaths are caused by pooradherence.

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The World Health Organization estimates that by 2020 157 million Americans will be affected by at least one chronic condition requiring medication therapy

Sources: Ho 2009, Circulation; Levine et al. 2013, Annals of Neurology

The economic cost of poor medication adherence: $289 BILLION

Annually

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Social and economic Healthcare system Condition & therapy Patient’s physical &

psychological well-being Sources: World Health Organization, 2003, Adherence to Long-term Therapies, Evidence for Action. http://apps.who.int/iris/bitstream/10665/42682/1/9241545992.pdf

Factors to driving non-adherence include:

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Adherence Factors Can Serve as Both Tailwinds & HeadwindsPatients with Poor Medication Adherence

Patients with Good Medication Adherence

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The World Health Organization estimates that by 2020 157 million Americans will be affected by at least one chronic condition requiring medication therapy

There is a growing body of evidence that strong social ties improve health outcomes.

Sources: Breast Cancer Research and Treatment: January 2013, Volume 137, Issue 1, pp 261-271. Candyce H Kroenke, ScD, MPH,a Charles Quesenberry, PhD,b Marilyn L. Kwan, PhD,b Carol Sweeney, PhD,c Adrienne Castilllo, MS, RD,b and Bette J. Caan, DrPHb

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Medication Adherencenoun | medication adherence The patient’s conformance with the providers recommendation with respect to timing, dosage, and frequency of medication-taking during the prescribed length of time.

The beliefs, perceptions motivation and attitude of a patient greatly impact adherence. Source: World Health Organization, 2003, Adherence to Long-term Therapies, Evidence for Action. http://apps.who.int/iris/bitstream/10665/42682/1/9241545992.pdf

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The healthcare system can provide care in the system, prescribed and inform the patient of next steps.The rest is up to the patient.

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PATIENT-PEERS’ INFLUENCE

BELIEFS, ATTITUDES, MOTIVATIONS AND PERCEPTIONS

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BETTER MEDICATION ADHERENCEIMPROVED HEALTH OUTCOMES

The World Health Organization estimates that by 2020 157 million Americans will be affected by at least one chronic condition requiring medication therapy

3 KEY FACTORSIn creating a valuable setting for peer-to-peer influence to take place. Critical Mass of Informed

Patient Peers Social Proof Encouragement

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Characteristics of a Quality Peer-to-Peer Setting

HIGH ENGAGEMENT AMONG PEERS:Volume of experiences that surface lifehacks and insights to

manage a disease with prescribed treatment paths.

OPENNESS OF PEERS:Willingness to share the daily highs and lows of a disease

IMPROVED HEALTH OUTCOMES

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When living with a chronic disease, LIFEHACKS give us something to hold onto, to feel less powerless as we get through it all. But it’s STRONG SOCIAL TIES to others who ‘get it’ that give us a reason to KEEP GOING to achieve BETTER HEALTH OUTCOMES. #SxSW #panelpicker