What are the most successful solutions to non-adherence? Which characteristics have the greatest impact on the issue?
From a user’s perspective, I have not yet found the most successful solution to non-adherence, and this is simply because no two patients will ever be the same. The most successful solutions to non-adherence will enable empathetic two-way, person-centered communication of accurate information and the recommendation of self-management supports to patients (and carers) by healthcare professionals, at the point of care, using a standardised technology as an enabler. The perfect solution according to my experience would be a cloud-based, real-time portal that would include elements of:
- An information database on all medications available according to condition.
- A patient profile including medical history, symptoms, disease states, etc., that links to their carer or healthcare professional and is available to all health services on the cloud for access in emergency situations.
- An algorithm to test every medication the patient is on against one another and in combination with the patient’s profile to predetermine possible barriers, challenges or risks,
- Components that allow the patient or carer to practically self-manage their medications and send real-time data about the timing of taking medications to health services.
- A local support resources directory such as specific charities or peer support which could help them with the social and emotional impact of having a medical condition.
How do solutions best fit into the lives of patients? Which solutions have provided the most seamless fit? Broad question because again “patients” are being classed as a homogenous group instead of being thought about as “individuals”. This is why there is a need for a range of personalised-to- need solutions that are interoperable and connectable. Medications also come in all shapes and sizes, and their regimens can be complicated. Many patients don’t have time to research the best option for them – which app, which charity etc.; they are leaving hospitals sick, tired and drained and many just want someone to advise them what’s best for them. Solutions that leverage the healthcare professional’s expertise to enable personalised solutions will fit the most seamless into patient’s lives. How do solutions ensure high engagement amongst patients? By asking them. Be that through an online survey, a digital fingerprint which shows they have engaged or through a one-to-one phone call or meeting. Keep asking. Keep questioning. Bring the patients into the teams – let them say it as it is, and change accordingly. Constantly. Curious if home-based digital health devices can address medication non-compliance? Download our report on medication non-adherence >>