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Table 5 The ABC Delphi Panel medication adherence policy solutions

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

Policy solutions Priority rating* Mean importance♦ Mean operational feasibility Mean political feasibility
1. Improve patient education and information when a medication is newly prescribed 8.92 4.47 4.39 4.50
2. Improve patient education and information focused on the patients’ treatment 8.42 4.13 4.16 4.42
3. Improve patient education and information regarding the benefits of adherence to their particular medication(s) 8.40 4.11 4.24 4.34
4. Improve education and training for healthcare professionals about ways of addressing medication non-adherence to drive improvements in clinical practice 8.32 4.42 3.86 3.93
5. The patients' preferences for treatment should be discussed to support medication adherence 8.27 4.32 3.89 4.00
6. Improve education and training for healthcare professionals about patient-centred care 8.25 4.32 3.89 3.96
7. Improve patient education and information about potential side effects or adverse effects and how to manage them 8.21 4.08 4.13 4.13
8. Healthcare professionals should support patients with concerns about or experience of side effects of medication 8.18 4.18 3.96 4.04
9. Improve education and training for healthcare professionals about identifying and assessing medication non-adherence to drive improvements in clinical practice 8.06 4.18 3.76 4.00
10. Ensure patient involvement and a partnership approach, for example in treatment plans and decisions, to support medication adherence for those patients who wish to be involved 8.05 4.32 3.66 3.79
11. Simplify the patients’ medication regimen (e.g., less frequent, modified formulation and/or dosage, tailored to individual need) 8.05 4.16 3.82 3.96
12. Improve education and training for healthcare professionals regarding medication adherence in general 8.03 4.05 3.95 4.00
13. Improve patient education and information to assist the patient to weigh up the benefit and harm of medication 7.99 4.18 3.75 3.86
14. Increase public awareness of the issue of medication adherence 7.94 4.13 3.82 3.79
15. The patients' health- and medication-related beliefs should be discussed between the clinician and the patient to support medication adherence 7.90 4.29 3.50 3.71
16. Healthcare professionals should use reviews of medication to discuss medication adherence with patients 7.84 4.03 3.82 3.79
17. Healthcare professionals should provide the patient with ongoing feedback and support with medication-taking 7.82 4.07 3.79 3.71
18. Stop medication(s) that the patient no longer needs or wants 7.81 4.00 3.75 3.86
19. Ensure a consistent team approach to treatment, in which all members of the healthcare team work together to support medication adherence 7.61 4.21 3.18 3.61
20. Healthcare professionals should adopt a non-judgmental approach to the issue of medication adherence 7.61 4.11 3.43 3.57
21. Build patients’ trust in the healthcare professional to support medication adherence 7.60 4.11 3.43 3.54
22. Information provision should be tailored to the individual preferences or needs of the patient 7.56 4.03 3.34 3.71
23. Governments should implement evidence-based policies about medication adherence 7.53 4.05 3.42 3.53
24. Governments should invest resources/money in medication adherence, particularly regarding education, research, and access to medicines 7.39 4.11 3.34 3.21
25. Healthcare professionals should make sufficient time for the patient, for instance through more frequent contact 6.79 4.00 2.76 2.82
  1. * Higher ratings indicate higher priority; lowest possible priority rating = 2, highest possible priority rating = 10.
  2. Importance, operational feasibility, and political feasibility ratings were made on 5-point scales; higher scores indicating higher importance/feasibility.
  3. Note. All ratings for the policy solutions listed in the table achieved consensus from the ABC Delphi Panel.