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Medication non-adherence is an overwhelmingly pervasive issue in the healthcare industry. Nearly 75% of adults are non-adherent in one or more ways, costing the healthcare industry $300 billion annually.
Medication non-adherence’s reasons are as far reaching as its consequences. Health literacy, disorganization, low self-efficacy, and forgetfulness make up 75% of non-adherence cases. Its multiple causes make it difficult to address, and the responsibility for ensuring compliance often falls on unreliable shoulders.
Friends and family members, for instance, may try to assist, but they cannot ensure full-on support 100% of the time. Informational packets, detailing correct dosage levels and times, are helpful, but aren’t guaranteed to be read or even understood.
- Imagine that a patient with a serious heart disease is considering potentially lethal corrective surgery and asks you what the chances are. Your response can be framed in two different ways—five years after surgery, 90% of patients are still alive (survival frame) or 10% of patients are dead (mortality frame).
- atients perceived a higher level of compassion and preferred physicians who provided a more optimistic message. More research is needed in structuring less optimistic message content to support health care professionals in delivering less optimistic news.
- The text message would be considered part of the patient’s medical records, hence it is important that the consent for the text message is recorded in full, as well as the date and time that it was sent and the content of the message. Any response received should also be recorded in the patient’s record in the same way.
- nform patients of the practice’s text messaging service and the limitations, via the practice leaflet, website or notice in the waiting room. The leaflet could be given to the patient when they consent to receiving text messages. The content of the leaflet should be reviewed at regular intervals and adapted to reflect any changes in the service and/or advances in technology