Exact(13)
The measure also needs to have a theoretical basis that reflects the need for patient tailored adherence services.
There is a need for a measure which can be used in the routine continual quality monitoring of adherence services.
In order to target adherence services to support patients' needs, it is necessary to establish the causes of non-adherence.
There is a recognised need to build primary care medication adherence services which are tailored to patients' needs.
In order to build effective targeted adherence services, a simple, valid and reliable method for detecting the prevalence and type of non-adherence to medicines is needed [ 6].
There is a need to build informed, comprehensive, primary care-based medication adherence services which are tailored to patients' needs [ 1].
Similar(47)
Therefore a measure for a primary care adherence service needs to be generic rather than disease specific and should be suitable for patients taking a single medication or multiple medications for different conditions.
Notably, while on the majority of occasions of intentional non-adherence, service users had positive expectations, there were still some occasions (n = 5) on which service users chose not to follow recommendations despite expecting negative consequences (Table 2).
Although eligibility for highly active antiretroviral therapy (HAART) was restricted to women with more advanced HIV disease (CD4 count < 350 or WHO Stage III/IV), all HIV-positive pregnant women were encouraged to enroll in the on-site HIV care and treatment program, which provided access to health education, adherence counseling services, patient support groups, and other supportive services.
In adherence-related services, improvements in adherence of the population using the service is an important marker of quality.
Such a change can influence interaction between service users and providers, which in turn influence the receptiveness (and thereby adherence) to services by users.
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