A new survey finds that 54 percent of Americans say they do not consistently take prescriptions as instructed even though 87 percent believe prescription medicines are important to their health – pointing to a growing public health problem.
The survey examining prescription adherence was released today by Prescription Solutions, a leading pharmacy benefit management organization and a UnitedHealth Group (NYSE:UNH) company, and the National Council on Patient Information and Education (NCPIE).
Poor adherence to medications – the extent to which people take their medications as prescribed by their doctor – can have adverse effects on people’s health. It diminishes the ability to treat chronic conditions like diabetes, heart disease, cancer, asthma and many other diseases; and it can result in suffering, an increase in hospitalizations and even death.
Non-adherence with prescription medications also is a key source of unnecessary cost in the U.S. health care system. According to a recent New England Healthcare Institute (NEHI) study, otherwise avoidable medical spending resulting directly from non-adherence accounts for up to $290 billion per year, or 13 percent of total health care expenditures.
The Prescription Solutions/NCPIE survey found that nearly 60 percent of respondents believe that when people take their prescription medications as instructed, it will lead to better health and it can help lower costs to the health system.
“The hidden health, financial and productivity costs of people not following their medication regimens as instructed are profound, making prescription non-adherence a national health problem,” said Jacqueline Kosecoff, chief executive officer of Prescription Solutions. “The survey clearly shows that people need and want more information, guidance and help understanding and using prescription medicines.”
Feeling Better and Side-Effect Concerns Are Top Reasons for Non-Adherence
Of those surveyed, 37 percent said they did not finish taking all the prescription medicine as instructed, and 31 percent said they skipped doses. Twenty-three percent said they did not refill their prescriptions as instructed.
When asked why they did not follow their doctors’ instructions, 59 percent said that they started to feel better and didn’t think it was necessary to keep taking the prescription medicine. Four in ten (37 percent) said they were concerned about side effects, while 25 percent said that they weren’t feeling any better so they didn’t think it was necessary to keep taking the prescription medicine. Nearly a quarter (24 percent) said they stopped taking the medicine because it was too expensive.
“Poor medicine adherence – dubbed by NCPIE over two decades ago as ‘America’s other drug problem,’ – appears to be as pervasive and costly in terms of health and economic consequences today as in years past,” said Ray Bullman, executive vice president of NCPIE. “These survey findings underscore the challenge of non-adherence and the need for frequent and ongoing communication between consumers and their health care providers about medicines so that consumers recognize the value of medicines properly used and can derive the maximum benefit – and the minimum risk – from their prescription medications.”
Data Suggest Refill Reminders, Regular Check-Ins, Easier-to-Read Instructions Would Aid Adherence
When asked what would help them take their medications as instructed, 39 percent cited refill reminders. Twenty-five percent of respondents said they would do better at taking their prescription medicines as instructed if someone were to follow up with them or encourage them along the way; this could include a loved one, caregiver or health care provider, for example. More than a third (34 percent) said that they would adhere better if they were provided easier-to-understand instructions about how to take their prescription medicines. Nearly half said lower cost for prescription medicines (49 percent) and fewer side effects (48 percent) would help them better take their medications as instructed.
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