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J Clin Outcomes Manage
2011 Apr;18(4):177-182
Promoting adherence to inhaled corticosteroid therapy in patients with asthma
Otsuki-Clutter M, Sutter M, Ewig J
Abstract: Objective: To review factors associated with adherence to inhaled corticosteroid (ICS) therapy among patients with asthma and the recent advances in promoting medication adherence and improved asthma outcomes. Methods: Review of the scientific literature. Results: Although daily ICS therapy is first-line controller therapy for persistent asthma management, nonadherence is common and compromises asthma treatment outcomes. Disparities in asthma outcomes may be explained by ICS adherence, which is disproportionately low in low-income and ethnic minority patients. Adherence to ICS therapy is influenced by a complex interaction of treatment-, clinician-, and patient-level factors. Clinicians can play a critical role in educating patients and their family members about the importance of adherence to prescribed treatment. Conclusion: Improvement of adherence to ICS therapy requires multidisciplinary approaches involving physicians, nurses, respiratory therapists, pharmacists, and other health care professionals.
Clinical Review Article
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