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The multifaceted nature of medication adherence, due to a large number of underlying factors, presents several critical challenges including how to evaluate the current level of adherence, how to improve and how to maintain the required level of medication adherence, especially for long-term chronic conditions.
SIGNIFICANCE This article is the first to investigate the nature of medication cost discussions between ophthalmologists and glaucoma patients.
We suggest that this differential effect may be due to the very different nature of medication verification vs medication administration.
Different numbers were reported in a study determining the nature of medication related adverse events, including 7889 (surgical and nonsurgical) patients.
The multi-dimensional nature of medication management in RACFs demands a holistic approach to incident management by exchanging required information with all the stakeholders [ 27, 32, 68].
Our findings indicating the non-static nature of medication decisions suggest that the effectiveness of OP medications may be compromised in many cases.
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These diverse sources are necessary given the nature of medications (e.g., multiple dosing and dose adjustments, particularly of insulin, for diabetes medication) [ 28, 29].
Self-management models based on behaviour and integration theories reflect this perspective on medication adherence behaviours and self-care activities, acknowledging both the psychosocial and biomedical nature of the medication regimen [ 129, 130] and highlighting that perceptions may differ between patients and providers on treatments goals and strategies [ 131].
These findings suggest that the antihyperglycemic effect of colesevelam is independent of the nature of the medication to which it is added.
Finally, there is a misfit between time-consuming nature of performing medication reviews and the current workload of both GPs and pharmacists.
Although blinding of the external study coordinators was foreseen in the protocol, it cannot be ruled out that they received information from the patient revealing the nature of their medication.
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