Reasons for Nonadherence

  • Adrian PonaEmail author
  • Abigail Cline
  • Steven R. Feldman
Part of the Updates in Clinical Dermatology book series (UCD)


Patients’ failure to adhere to treatment regimens results in poor health outcomes and increased financial expenditure. Acknowledging common barriers to adherence can help providers anticipate how patients will incorporate treatment into their daily routine. Reasons for nonadherence may be patient-related, prescriber-related, and healthcare-related. Common reasons for nonadherence shared by the provider and patient include beliefs, perception of symptoms, cost, social support, education, forgetfulness, and psychiatric illnesses. Addressing common reasons for nonadherence can improve adherence and overall treatment outcome.


Nonadherence Healthcare provider Patient Reasons Barriers 


Conflicts of Interest

Dr. Steven Feldman has received research, speaking and/or consulting support from a variety of companies including Galderma, GSK/Stiefel, Almirall, Leo Pharma, Boehringer Ingelheim, Mylan, Celgene, Pfizer, Valeant, Abbvie, Samsung, Janssen, Lilly, Menlo, Merck, Novartis, Regeneron, Sanofi, Novan, Qurient, National Biological Corporation, Caremark, Advance Medical, Sun Pharma, Suncare Research, Informa, UpToDate and National Psoriasis Foundation. He is founder and majority owner of and founder and part owner of Causa Research, a company dedicated to enhancing patients’ adherence to treatment.

Dr. Adrian Pona and Dr. Abigail Cline have no conflicts to disclose.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Adrian Pona
    • 1
    Email author
  • Abigail Cline
    • 1
  • Steven R. Feldman
    • 2
  1. 1.Department of DermatologyWake Forest School of MedicineWinston-SalemUSA
  2. 2.Departments of Dermatology, Pathology and Social Sciences & Health PolicyWake Forest School of MedicineWinston-SalemUSA

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