Carmit K McMullen1, Monika M Safford2, Hayden B Bosworth3, Shobha Phansalkar4, Amye Leong5, Maureen B Fagan6, Anne Trontell7, Maureen Rumptz8, Meredith L Vandermeer8, William B Brinkman9, Rebecca Burkholder10, Lori Frank11, Kevin Hommel9, Robin Mathews12, Mark C Hornbrook13, Michael Seid9, Michael Fordis14, Bruce Lambert15, Newell McElwee16, Jasvinder A Singh17. 1. Center for Health Research, Kaiser Permanente Northwest, Portland, OR USA. Electronic address: Carmit.McMullen@kpchr.org. 2. Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL USA. 3. Duke University, Durham, NC USA. 4. Partners Healthcare Systems, Inc., Wellesley, USA; Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA. 5. Healthy Motivation, Santa Barbara, CA USA. 6. Center for Patients and Families, Brigham and Women's Hospital and Harvard Medical School, Boston, MA USA. 7. Agency for Health Care Research and Quality, Rockville, MD USA. 8. Center for Health Research, Kaiser Permanente Northwest, Portland, OR USA. 9. Cincinnati Children's Hospital and Medical Center, Cincinnati, USA. 10. National Consumers League, Washington, USA. 11. Patient-Centered Outcomes Research Institute, Washington, USA. 12. Duke University, Durham, USA. 13. Center for Health Research, Kaiser Permanente Northwest, Portland, USA. 14. Baylor College of Medicine, Houston, USA. 15. Center for Communication and Health, Northwestern University, Chicago, USA. 16. Merck & Co., Inc., New York, USA. 17. Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, USA; Birmingham Veterans Affairs Medical Center, Birmingham, USA.
Abstract
OBJECTIVE: The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication management to improve chronic disease treatment. METHODS: Patients, providers, researchers, and other stakeholders (N = 28) identified and prioritized ideas for future research and practice. We analyzed stakeholder voting on priorities and reviewed themes in workshop discussions. RESULTS: Ten priority areas emerged. Three areas were highly rated by all stakeholder groups: creating tools and systems to facilitate and evaluate patient-centered medication management plans; developing training on patient-centered prescribing for providers; and increasing patients' knowledge about medication management. However, priorities differed across stakeholder groups. Notably, patients prioritized using peer support to improve medication management while researchers did not. CONCLUSION: Engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research. PRACTICE IMPLICATIONS: Workshop participants recognized the potential benefits of patient-centered medication management but also identified many challenges to implementation that require additional research and innovation.
OBJECTIVE: The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication management to improve chronic disease treatment. METHODS:Patients, providers, researchers, and other stakeholders (N = 28) identified and prioritized ideas for future research and practice. We analyzed stakeholder voting on priorities and reviewed themes in workshop discussions. RESULTS: Ten priority areas emerged. Three areas were highly rated by all stakeholder groups: creating tools and systems to facilitate and evaluate patient-centered medication management plans; developing training on patient-centered prescribing for providers; and increasing patients' knowledge about medication management. However, priorities differed across stakeholder groups. Notably, patients prioritized using peer support to improve medication management while researchers did not. CONCLUSION: Engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research. PRACTICE IMPLICATIONS: Workshop participants recognized the potential benefits of patient-centered medication management but also identified many challenges to implementation that require additional research and innovation.
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