Forbes: Why Medication Adherence Needs to Be A National Priority

By: Hayden Bosworth, Professor, Duke University Medical Center; and Sloane Salzburg, executive director, Prescriptions for a Healthy America June 12, 2017

For all the dizzying talk of repeal versus repair, one of the greatest cost drivers in healthcare is still hiding in plain sight. It’s called medication nonadherence: the simple fact that people often don’t take their medicines as prescribed.

Medications cost the healthcare system approximately $325 billion annually, and research indicates that suboptimal medication use—including taking too much or not taking enough—leads to avoidable annual healthcare costs totaling $300 billion. People who don’t take their medicines are more likely to end up back in the hospital or in the emergency room than those who do. Read more here.

iMedicalApps: Study Shows Promise of Using AI Enabled App for Medication Adherence in Stroke Patients

iMedicalApps, May 16, 2017

Adherence to medications is a major factor in determining patient outcomes. Stroke patients on direct oral anticoagulants (DOACs) are perfect examples of this adherence issue. Regular adherence to their DOACs is essential to prevent the risk of stroke and bleeding. Previously, we have looked into other creative solutions to improve adherence, including ingestible sensors. This time, we are looking at the concept of directly observed therapy that no longer relies on healthcare professionals reviewing patient videos, but has built-in artificial intelligence (AI) capabilities.

In a 12-week, randomized, parallel-group study, Labovitz et al tested the effect of an AI-enabled app, AiCure, on medication adherence in 28 ischemic stroke patients (20 patients were on DOACs including dabigatran, rivaroxaban, and apixaban; 8 were  on warfarin). Not only can AiCure provide patients with reminders and dosing information, it is also capable of carrying out directly observed therapy through HIPAA-compliant facial recognition, automatic medication identification, and real-time medication ingestion confirmation using a smartphone. Read more here.