The non-compliant patient, reconsidered
Talking about medication in pharma, like in the debate about pricing, it often appears that the subject of the discussion is not placed in the context of "medication", meaning the whole of the process of medication selection, prescription, delivery, adherence, support etc.
Indeed, the first thing to overcome this limitation is to understand non-compliant behavior. But that is not the only perspective to it. Other perspectives for understanding are: the right medication for the right conditions and the right patient (as in "precision medicine"), the organization of the care process both from the institute (hospital or family practice), the actual delivery by pharmacist, nurse or other professional, and of course indeed, the support for the patient in his her self management! Comprehension of this all tells us two things:
- shared decision making between care providers and patients is crucial to effectiveness and efficiency in therapy, and
- the more intensive the collaboration (as in co-creation) between all involved (stakeholders like payers, family beyond health care professionals and patients) may open the window to better support and patient satisfaction.
As a bonus to this collaboration, the process itself will be better understood, upon which effectiveness and efficiency (also as in "costs") may readily be improved!