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Table 6 ABC consensus-based policy solutions for medication adherence for Europe

From: Developing consensus-based policy solutions for medicines adherence for Europe: a delphi study

Patients benefit when provided with support, education, and information
· when a medication is newly prescribed
· focused on the patients’ treatment
· about the benefits of adherence to their particular medication(s)
· about potential side effects or adverse effects and how to manage them
· to assist the patient to weigh up the benefit and harm of medication
· tailored to the individual preferences or needs of the patient
Healthcare professionals should receive education and training about
· patient-centred care
· identifying and assessing medication non-adherence
· ways of addressing medication non-adherence when it is identified
so that they can:
· adopt a non-judgmental approach
· identify medication non-adherence
· provide patients with ongoing feedback and support with medication-taking
· support patients with concerns about, or experience of, side effects of medication
· make sufficient time for the patient, for instance through more frequent, timely contact
Together, healthcare professionals and patients should
· discuss the patients' preferences for treatment
· ensure a partnership approach in decision making and treatment
· discuss the patients' health- and medication-related beliefs
· build the patients’ trust in the healthcare professional
Regarding medicines
· simplify the patients’ medication regimen as appropriate (e.g., less frequent, modified formulation and/or dosage, tailored to individual need)
· stop medication(s) that the patient no longer needs or wants
Healthcare providers should
· promote a team approach, sharing information to deliver consistent adherence support
· prioritise medication adherence support in service, organisation, and systems design
Governments/healthcare payers should
· increase public awareness of medication adherence for all citizens
· develop and implement evidence-based interventions for medication adherence
· provide training and guidance for all healthcare providers so they can deliver effective adherence interventions
· invest in research to identify effective interventions demonstrating value for money