Why pharma should focus on adherence: $188B in lost revenue

5 comments
MedicalQuack
MedicalQuack

These articles and numbers simply amaze me on the emotions they stir and they may not be correct.  Granted getting people to take their medications requires education and first line is the doctor.  I have heard HMOs lean on MDs as to why are patients not taking their meds too, and a lot of the time it's not true as they fill a generic prescription and it's not tracked via the medical plan.  So again be aware of what these reports do and don't get so sucked in.  Again, we need to address this and education is the key.  I have reported on 4 years of all types of schemes to include contests on "taking pills" to lotteries...education still works best as you can't make a game out of it. 

 

On top of that you have people scamming analytics like FICO that they bogusly sell that claims to predict who will not take their meds.  They use a credit report and other information from the web, so now we have flawed data when you combine credible with non credible.  FTC needs to go after FICO for selling fraud with mis matched data here.  Guess what, they sell this fiction to pharma...so go figure. 

 

http://ducknetweb.blogspot.com/2011/06/fico-analytics-press-release-marketing.html

 

Again I am totally amazed at how everyone suckers in with these reports and numbers and feels they have to run and control something or somebody.  Watch this video and see how suckered in you are from NYU professor Siefe, it's all about context.  He also wrote a great book called "Proofiness, the Dark Arts of Mathematical Deception" so between the 2 see how you get suckered and how the use of non linear data as such contains some fiction and numbers that do not work.  This is just sad that reports like this continue and granted medication compliance is a focus that is needed but studies like this are crap for the most part and see how it makes you look at your fellow man.  They don't do anything for ethics at all either. 

 

http://ducknetweb.blogspot.com/2012/01/context-is-everythingmore-about-dark.html

 

If you want to dig in further, great video here on companies discussing big data and hats off to the women from T-Mobile that said what they were analyzing  was "silly"...get in to a little math before you jump all over reports like this as they may not be accurate and it messes with your head.

 

http://ducknetweb.blogspot.com/2012/11/big-dataanalytics-if-used-out-of.html

HealthPrize
HealthPrize

We need to think about non-adherence in new ways. It's not a simple problem of cost or forgetfulness. It's a value issue. It's a motivational issue. It's difficult to stick with a pill today if the benefits are years away. It's human nature. We need find creative ways to add short-term value, or rewards, to the act of taking a pill for a chronic condition.

medcitynews
medcitynews

@dougweinbrenner Oh yeah, that too! Kidding, of course. Money shouldn't be the most important motivator, but ..

Stephen Miller
Stephen Miller

The one-size-fits-all approach to adherence has been shown to not be effective.  Developing solutions specific to the issues for a condition may prove to be more effective.  It is amazing that with anti-platelet therapy, 49% of the potential revenue is lost to non-adherence,  It has been shown that a simple issue of difficult-to-control, minor bleeding (aka, nusiance bleeding) caused 11% of patients to stop taking Plavix.  That is not severe hemorrhage, but a small cut that won't stop bleeding that led to a revenue loss of several hundreds of millions of dollars.

CareRxPharmD
CareRxPharmD

Another set of tools to use right now are clinical pharmacists! When a patient is non-adherent or noncompliant to exercise, medications or wellness, it costs all of us. On an individual level, yes, patients and caregivers needs to take an active role in their health and medication management role by doing simple things before leaving their doctor’s office and after leaving their pharmacists from the pharmacy - We also needs to access barriers to adherence or compliance as well in order to affect change or behavior. Clinical pharmacists are the most trusted, resourceful and underutilized healthcare providers.  http://www.carenovatemag.com/page/2/

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