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Investing in medication adherence improves health outcomes and health system efficiency: Adherence to medicines for diabetes, hypertension, and hyperlipidaemia

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Listed:
  • Rabia Khan

    (OECD)

  • Karolina Socha-Dietrich

    (OECD)

Abstract

Poor adherence to medications affects approximately half of the patient population, leading to severe health complications, premature deaths, and an increased use of healthcare services. The three most prevalent chronic conditions – diabetes, hypertension, and hyperlipidaemia – stand out regarding the magnitude of avoidable health complications, mortality, and healthcare costs. There are three broad reasons behind these low rates of adherence to chronic disease medications. Firstly,the problem of poor adherence has rarely been explicitly included in national health policy agendas. Secondly, interventions tend to attribute the problem exclusively to patients, while the evidence suggests that health system characteristics – in particular the quality of patient-provider interaction, procedures for refilling prescriptions, or out-of-pocket costs – are lead drivers. Thirdly, patients with chronic conditions frequently feel left out of the decision about their therapy and are inclined to rebuff. This paper identifies enablers that are needed for improving adherence to medication at the system level.

Suggested Citation

  • Rabia Khan & Karolina Socha-Dietrich, 2018. "Investing in medication adherence improves health outcomes and health system efficiency: Adherence to medicines for diabetes, hypertension, and hyperlipidaemia," OECD Health Working Papers 105, OECD Publishing.
    • Handle: RePEc:oec:elsaad:105-en
    DOI: 10.1787/8178962c-en
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    Cited by:

    1. Zhigang Guo & Lin Bai & Zhenhuan Luo & Mengyuan Fu & Liguang Zheng & Xiaodong Guan & Luwen Shi, 2021. "Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    2. Di Novi, Cinzia & Leporatti, Lucia & Levaggi, Rosella & Montefiori, Marcello, 2022. "Adherence during COVID-19: The role of aging and socio-economics status in shaping drug utilization," Journal of Economic Behavior & Organization, Elsevier, vol. 204(C), pages 1-14.
    3. Isabelle Rao & Adir Shaham & Amir Yavneh & Dor Kahana & Itai Ashlagi & Margaret L. Brandeau & Dan Yamin, 2020. "Predicting and improving patient-level antibiotic adherence," Health Care Management Science, Springer, vol. 23(4), pages 507-519, December.
    4. Enrica Menditto & Caitriona Cahir & Sara Malo & Isabel Aguilar-Palacio & Marta Almada & Elisio Costa & Anna Giardini & María Gil Peinado & Mireia Massot Mesquida & Sara Mucherino & Valentina Orlando &, 2021. "Persistence as a Robust Indicator of Medication Adherence-Related Quality and Performance," IJERPH, MDPI, vol. 18(9), pages 1-9, May.

    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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