Abstract
Because nonadherence has detrimental effects on the patient, physician, and the healthcare system, healthcare providers may use patient adherence improvement strategies to improve overall clinical outcome. Because health care providers only have direct control over their own behaviors, a physician (or provider)-centered approach is a sensible way to consider adherence interventions. Physician-centered strategies can be organized into three levels. First is a foundation of assuring trust (that the patient trusts the doctor) and accountability. The second level implements what are generally considered the standard approaches for enhancing adherence including addressing cost, the complexity of the treatment regimen, patient education, and reminders. The final level constitutes more advanced psychological techniques to improve patient adherence.
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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 www.DrScore.com and founder and part owner of Causa Research, a company dedicated to enhancing patients’ adherence to treatment.
Dr. Adrian Pona, Dr. Abigail Cline, and Sree S. Kolli has no conflicts to disclose.
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Kolli, S.S., Pona, A., Cline, A., Feldman, S.R. (2020). Strategies to Improve Adherence. In: Feldman, S., Cline, A., Pona, A., Kolli, S. (eds) Treatment Adherence in Dermatology. Updates in Clinical Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-27809-0_3
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DOI: https://doi.org/10.1007/978-3-030-27809-0_3
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