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Challenges for Physicians, Payers, and Policy Makers

Arch Intern Med. 2006;166:1802-1804.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Much of the gap between recommended and actual levels of chronic disease care is attributable to medication nonadherence.^1-3 Medication nonadherence costs an estimated $100 billion a year in the United States and leads to thousands of serious adverse events or deaths each month. Yet, medication nonadherence may often be a rational response to the information patients are given,⁴ and many factors that drive nonadherence are beyond the control of patients.⁵ Provocative reports in this issue of the ARCHIVES indicate that physicians, payers, and policy makers may contribute in unfortunate ways to the epidemic of "patient" nonadherence. These reports challenge us to develop new and creative strategies to effectively address the perennial problem of medication nonadherence. Some of the major challenges are presented herein.

CHALLENGE 1

Can we stop blaming patients for medication nonadherence?

Perhaps because the patient is the one who takes medications, most of the blame for medication nonadherence has . . . [Full Text of this Article]

CHALLENGE 2

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NEXT STEPS

AUTHOR INFORMATION
Patrick J. O’Connor, MD, MPH

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