Job F M van Boven|Dermot Ryan|Michelle N. Eakin|Giorgio Walter Canonica|Aji Barot|Juliet Foster
Enhancing Respiratory Medication Adherence: The Role of Health Care Professionals and Cost-Effectiveness Considerations
University of Groningen|University Medical Center Groningen|University of Edinburgh|Johns Hopkins University|Johns Hopkins Medicine|Ospedale Policlinico San Martino|University of Genoa|Woolcock Institute of Medical Research|University of Sydney
adherence medication comprises multiphased temporal process involving 1 initiation prescribed therapy 2 implementation prescribed 3 subsequent persistence medication adherence remains suboptimal patients longterm respiratory conditions asthma chronic obstructive pulmonary disease copd interventions shown effectively improve treatment initiation implementation persistence delivered health care professional level system level demonstration costeffectiveness interventions necessary ensure widespread use review summarizes health care professionals intervene improve medication adherence patients asthma copd provides examples effective primary care interventions illustrates challenges optimal implementation arising costeffectiveness modeling improving adherence shown economically viable treatment option patients asthma copd differences health economics pertaining condition setting affect whether intervention considered costeffective targeting adherence interventions patients greatest gain tailoring individual patient needs may help optimize costeffectiveness ratios improve probability positive reimbursement decisions systemwide implementation resultant health benefits