Strategies for Coping in a Complex World: Adherence Behavior Among Older Adults with Chronic Illness

Issues potentially affecting quality of life arising from long-term medicines use: a qualitative study

“…With medicines prescribed for symptomatic relief, as opposed to specific treatment or presumptive diagnosis, efficacy is detectable and patients can assess it by reducing or stopping them and observing symptoms [8,39].…”

Unfilled Prescriptions of Medicare Beneficiaries: Prevalence, Reasons, and Types of Medicines Prescribed

“…34 Much of the literature on medication adherence assumes a rational decision-making process where patients weigh the perceived therapeutic benefits of each medication against the cost of filling the prescription and restrict use of high-cost, lowbenefit medications. 35,36 General evidence of price sensitivity can be found in some studies of insurance claims data that associate lower levels of drug utilization with higher levels of cost-sharing, 37 but the research findings are inconsistent. 38 Among commercially insured adults, the introduction of prescription coverage tiers, with different copayments for different tiers, appears to reduce program costs, in part by substitution of relatively low-cost but therapeutically equivalent medications, but does not adversely affect patient treatment regimens or health status.…”

Intentional and unintentional non-adherence in community dwelling people with type 2 diabetes: the effect of varying numbers of medicines

“…the use of dosette boxes, greater contact with healthcare professionals and greater disease severity may be factors which influence this finding. the range of strategies to manage regimen complexity has been reported elsewhere; 22,23 it is likely that people used a range of strategies to facilitate adherence in this complex regimen too. Precise examination of these strategies may help improve adherence in complex regimens.…”