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McMullen CK, Safford MM, Bosworth HB, Phansalkar S, Leong A, Fagan MB, Trontell A, Rumptz M, Vandermeer ML, Centers for Education and Research on Therapeutics Patient-Centered Medication Management Workshop Working Group, Brinkman WB, Burkholder R, Frank L, Hommel K, Mathews R, Hornbrook MC, Seid M, Fordis M, Lambert B, McElwee N, Singh JA. Patient-centered priorities for improving medication management and adherence. Patient education and counseling. 2015 Jan 1; 98(1):102-10.
Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects. OBJECTIVE: The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication management to improve chronic disease treatment. METHODS: Patients, providers, researchers, and other stakeholders (N = 28) identified and prioritized ideas for future research and practice. We analyzed stakeholder voting on priorities and reviewed themes in workshop discussions. RESULTS: Ten priority areas emerged. Three areas were highly rated by all stakeholder groups: creating tools and systems to facilitate and evaluate patient-centered medication management plans; developing training on patient-centered prescribing for providers; and increasing patients' knowledge about medication management. However, priorities differed across stakeholder groups. Notably, patients prioritized using peer support to improve medication management while researchers did not. CONCLUSION: Engaging multiple stakeholders in setting a patient-centered research agenda and broadening the scope of adherence interventions to include other aspects of medication management resulted in priorities outside the traditional scope of adherence research. PRACTICE IMPLICATIONS: Workshop participants recognized the potential benefits of patient-centered medication management but also identified many challenges to implementation that require additional research and innovation.
