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Kristin A. Riekert

In: Promoting Treatment Adherence: A Practical Handbook for Health Care Providers

Chapter 2: Integrating Regimen Adherence Assessment into Clinical Practice

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Integrating Regimen Adherence Assessment into Clinical Practice
Integrating regimen adherence assessment into clinical practice
Kristin A.Riekert

If a clinician feels it is important to recommend a regimen, be it diet, exercise, or medication, to a patient, it should be just as important to the clinician to know the extent to which the patient followed that recommendation. Unfortunately, few clinicians routinely incorporate a standardized and valid protocol for assessing regimen adherence into their daily practice. This is despite a well-developed body of literature demonstrating that about half of all medical patients in the United States do not adhere to physicians' advice (Haynes et al., 2000). Nonadherence can lead to misdiagnoses and unnecessary treatment (Joshi & Milfred, 1995) and significantly contributes to patient outcomes including laboratory values (e.g., cholesterol ...

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