What are the reasons for nonadherence?
The reasons for nonadherence include perceived lack of effect, poor health literacy, physical impairment (vision, cognition), mental health conditions (depression, anxiety), social isolation, cognitive impairment (dementia), high HF regimen complexity, impact of comorbidities (e.g., depression), polypharmacy due to multiple comorbidities, frequency of dosing, polypharmacy, side effects, out-of-pocket cost, difficulty accessing pharmacy, lack of social support, homelessness, poor communication, silos of care, no automatic refills, and difficulty navigating patient assistance programs.