Clinicians’ view on non-adherence: sharing expert opinion
IntroductionMedication non-adherence (NA) remains a persistent challenge across all medical specialties, contributing to adverse patient outcomes and increased healthcare burdens. While numerous studies have explored patient-related factors influencing adherence, the perspectives of healthcare profe...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Pharmacology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphar.2025.1636806/full |
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| author | Ngiap Chuan Tan Shashank R. Joshi Enrique De-Madaria Enrique De-Madaria Badr Eldin Mostafa O. Nuri Özgirgin Tommaso Simoncini Lale Tokgözoğlu |
| author_facet | Ngiap Chuan Tan Shashank R. Joshi Enrique De-Madaria Enrique De-Madaria Badr Eldin Mostafa O. Nuri Özgirgin Tommaso Simoncini Lale Tokgözoğlu |
| author_sort | Ngiap Chuan Tan |
| collection | DOAJ |
| description | IntroductionMedication non-adherence (NA) remains a persistent challenge across all medical specialties, contributing to adverse patient outcomes and increased healthcare burdens. While numerous studies have explored patient-related factors influencing adherence, the perspectives of healthcare professionals remain underrepresented in literature. This study aims to document the individual experiences of seven international physicians across diverse medical fields, highlighting barriers, detection methods, and strategies employed to address NA in their daily practice.MethodologyA structured qualitative approach was employed, incorporating semi-structured interviews and written questionnaires to capture expert insights. Seven physicians from specialties including family medicine, gastroenterology, otolaryngology, otology and neurotology, obstetrics and gynecology, endocrinology and cardiology participated in the study. Data were analyzed thematically to identify recurring patterns, specialty-specific challenges, and practical solutions implemented by clinicians.ResultsClinicians reported that NA detection primarily relied on patient self-reporting, clinical markers, and medication reconciliation. Barriers to adherence varied by specialty but commonly included polypharmacy, treatment complexity, patient skepticism, socioeconomic constraints, and asymptomatic conditions. Strategies to enhance adherence encompassed patient education, shared decision-making, therapeutic simplification, digital tools, and team-based care models. Despite proactive efforts, clinicians cited systemic limitations such as time constraints, fragmented healthcare records, and inadequate adherence-tracking mechanisms.ConclusionAddressing NA requires a patient-centered, interdisciplinary approach integrating education, digital innovations, and structured follow-up strategies. The study underscores the necessity for larger-scale research to validate adherence interventions and refine multidisciplinary frameworks. Given the study’s qualitative nature and small sample size, future research should incorporate broader datasets and diverse healthcare perspectives to develop more comprehensive adherence solutions. |
| format | Article |
| id | doaj-art-4d7749c68d6140f893f2eea295db8aa6 |
| institution | Kabale University |
| issn | 1663-9812 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pharmacology |
| spelling | doaj-art-4d7749c68d6140f893f2eea295db8aa62025-08-20T03:45:31ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-08-011610.3389/fphar.2025.16368061636806Clinicians’ view on non-adherence: sharing expert opinionNgiap Chuan Tan0Shashank R. Joshi1Enrique De-Madaria2Enrique De-Madaria3Badr Eldin Mostafa4O. Nuri Özgirgin5Tommaso Simoncini6Lale Tokgözoğlu7SingHealth Polyclinics, Singapore, SingaporeJoshi Clinic, Mumbai, IndiaDepartment of Gastroenterology, Dr. Balmis General University Hospital and Department of Clinical Medicine, Miguel Hernández University, Alicante, SpainAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, SpainFaculty of Medicine, Ain Shams University, Heliopolis-Cairo, EgyptBayındır Sogutozu Hospital, Ankara, TürkiyeDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, Pisa, ItalyDepartment of Cardiology, Hacettepe University Medical Faculty, Ankara, TürkiyeIntroductionMedication non-adherence (NA) remains a persistent challenge across all medical specialties, contributing to adverse patient outcomes and increased healthcare burdens. While numerous studies have explored patient-related factors influencing adherence, the perspectives of healthcare professionals remain underrepresented in literature. This study aims to document the individual experiences of seven international physicians across diverse medical fields, highlighting barriers, detection methods, and strategies employed to address NA in their daily practice.MethodologyA structured qualitative approach was employed, incorporating semi-structured interviews and written questionnaires to capture expert insights. Seven physicians from specialties including family medicine, gastroenterology, otolaryngology, otology and neurotology, obstetrics and gynecology, endocrinology and cardiology participated in the study. Data were analyzed thematically to identify recurring patterns, specialty-specific challenges, and practical solutions implemented by clinicians.ResultsClinicians reported that NA detection primarily relied on patient self-reporting, clinical markers, and medication reconciliation. Barriers to adherence varied by specialty but commonly included polypharmacy, treatment complexity, patient skepticism, socioeconomic constraints, and asymptomatic conditions. Strategies to enhance adherence encompassed patient education, shared decision-making, therapeutic simplification, digital tools, and team-based care models. Despite proactive efforts, clinicians cited systemic limitations such as time constraints, fragmented healthcare records, and inadequate adherence-tracking mechanisms.ConclusionAddressing NA requires a patient-centered, interdisciplinary approach integrating education, digital innovations, and structured follow-up strategies. The study underscores the necessity for larger-scale research to validate adherence interventions and refine multidisciplinary frameworks. Given the study’s qualitative nature and small sample size, future research should incorporate broader datasets and diverse healthcare perspectives to develop more comprehensive adherence solutions.https://www.frontiersin.org/articles/10.3389/fphar.2025.1636806/fullnon-adherencemedication adherencepatient complianceadherence strategiesexpert opinion |
| spellingShingle | Ngiap Chuan Tan Shashank R. Joshi Enrique De-Madaria Enrique De-Madaria Badr Eldin Mostafa O. Nuri Özgirgin Tommaso Simoncini Lale Tokgözoğlu Clinicians’ view on non-adherence: sharing expert opinion Frontiers in Pharmacology non-adherence medication adherence patient compliance adherence strategies expert opinion |
| title | Clinicians’ view on non-adherence: sharing expert opinion |
| title_full | Clinicians’ view on non-adherence: sharing expert opinion |
| title_fullStr | Clinicians’ view on non-adherence: sharing expert opinion |
| title_full_unstemmed | Clinicians’ view on non-adherence: sharing expert opinion |
| title_short | Clinicians’ view on non-adherence: sharing expert opinion |
| title_sort | clinicians view on non adherence sharing expert opinion |
| topic | non-adherence medication adherence patient compliance adherence strategies expert opinion |
| url | https://www.frontiersin.org/articles/10.3389/fphar.2025.1636806/full |
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