Measurement method and current application of medication adherence in patients with chronic respiratory diseases
- VernacularTitle:慢性呼吸系统疾病患者用药依从性的测量方法及应用现状
- Author:
Rui MA
1
;
Zhouye ZHUANG
2
;
Haomin ZHU
1
;
Pei ZHANG
1
;
Pingyu CHEN
2
;
Tiantian TAO
1
Author Information
1. School of Pharmacy，Nanjing Medical University，Nanjing 211166，China
2. School of International Pharmaceutical Business，China Pharmaceutical University，Nanjing 211198，China
- Publication Type:Journal Article
- Keywords:
medication adherence measurement;
chronic respiratory diseases;
chronic obstructive pulmonary disease;
asthma
- From:
China Pharmacy
2025;36(16):2073-2077
- CountryChina
- Language:Chinese
-
Abstract:
Medication adherence is an important indicator for assessing whether patients follow medical advice during treatment， and its level directly affects disease control and the quality of life of patients. Therefore， accurate and effective assessment is essential for chronic disease management and intervention. This paper takes chronic obstructive pulmonary disease （COPD） and asthma， two types of chronic respiratory diseases， as representative to review the existing measurement methods and current application status of medication adherence. It is found that the existing assessment methods for medication adherence can be categorized into objective measurement methods and subjective measurement methods. Objective measures include drug concentration monitoring， pill counting， and electronic medication devices， which generally offer high accuracy. Subjective measures include physician assessments， inhalation technique evaluations， and questionnaires. While these methods are straightforward and easy to implement， their accuracy is often influenced by the subjective factors of assessors of patients， which may lead to biased results. Currently， there is still a lack of a universally accepted “gold standard” for evaluating medication adherence. Selecting the appropriate measurement method requires a comprehensive consideration of factors such as research objectives， disease type， patient characteristics， and data availability to ensure the validity and reliability of the assessment results.
