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Adherence to Medical Plans for an Active & Healthy Ageing

Editat de Elsio Costa, Anna Giardini, Alessandro Monaco
en Limba Engleză Hardback – 30 sep 2017
Non-adherence to medical plans remain a challenge for health care professionals and scientists, as their efforts to improve and explain patients adherence appear to be ineffective. In fact, a study by the World Health Organization found that only 50% of the patients in developed countries adhere to recommended treatment plans. This degree of non-adherence results in a high number of patients that do not get the maximum benefits of medical treatment, which is associated with high health care costs, lower quality of life and poor health outcomes. A polypharmacy is often associated with inappropriate prescriptions, drug-drug and drug-disease interactions, and prescription cascade, which can all increase the risk of adverse drug reactions and therefore the discontinuation of treatment. In addition, the management of chronic diseases requires the patients continuous psychological adaptation and behavioural reorganization to face recurrent changes in therapeutic indications. We propose this book edition given the great clinical-socio-economic impact of non-adherence in global healthcare systems and the lack of advocacy both at the public and at political levels. In fact, non-adherence to medical plans is a double burden affecting the clinical outcome and consequently healthcare resources: it wastes pharmaceutical resources and prevents the correct treatment of specific conditions, leading to further medical expenditures and hospitalization associated with lower quality of life and poor health outcomes. Non-adherence to medical plans is a public health problem that affects all people in general, but with particular significance in older adults, as they show the co-occurrence of multiple chronic diseases and conditions. Many interventions to improve adherence have been described in the literature. Most interventions are associated with adherence improvements, but not with improvements in other outcomes, such as biomarkers, morbidity, mortality, quality of care, quality of life, patients satisfaction, health care utilization and costs. In fact, adherence rates remained unchanged over the last few decades. The reasons for the slow progress seem to be the lack of comprehensive theoretical models to explain non-adherence and to explain the potential success of a given intervention. Moreover, we believe that in the near future research in this area will be increased significantly, as this area is one of the priorities of the Horizon 2020 of European Commission for Research and Innovation.
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Specificații

ISBN-13: 9781536122930
ISBN-10: 1536122939
Pagini: 310
Dimensiuni: 180 x 260 x 23 mm
Greutate: 0.72 kg
Editura: Nova Science Publishers Inc
Colecția Nova Science Publishers Inc

Cuprins

Preface; The ABCs of Medication Adherence; An Overview of Advanced Information Technology for Adherence in the Ageing Population with Chronic Diseases & Appropriate Polypharmacy: The Taxonomy Model; Evidence-Based Directions for Polypharmacy Revision: The Experience Gained by the Campania Reference Site in the Framework of the EIP-AHA Action Group A1 & of the FRIENDD Pilot Study; The Contribution of Technologies to the Adherence to Medication by Older People: A Systematic Approach; Qualitative Studies on Medication Adherence: What Do They Add to Knowledge Gained by Quantitative Methods?; Empowering Senior Citizens & Professionals to Improve Adherence to Care Plans; Enhancing Adherence through Education; Enhancing Patient Adherence through Integrated Educational Programs Based on Psychological Techniques & Practices; Medicine Adherence in the Aging Population: The Role of Pharmacokinetics & Pharmacodyamics; Behavioral Interventions in Adherence: The Concept of Nudge; Measuring Medication Adherence in Health-Related Databases; The Impact of Changes in Pill Appearance in the Adherence to Medication; Treatment Adherence in Patients with Rheumatoid Arthritis; Adherence to Medical Plans in End-Stage Kidney Disease Patients Under Dialysis; Adherence to Topical Treatment in Psoriasis; Index.