107416 20230519145440.0 doi 10.3390/ijerph18094872 sideral 124736 ART-2021-124736 eng Menditto, Enrica Persistence as a robust indicator of medication adherence-related quality and performance 2021 Access copy available to the general public Unrestricted Medication adherence is a priority for health systems worldwide and is widely recognised as a key component of quality of care for disease management. Adherence-related indicators were rarely explicitly included in national health policy agendas. One barrier is the lack of standardised adherence terminology and of routine measures of adherence in clinical practice. This paper discusses the possibility of developing adherence-related performance indicators highlighting the value of measuring persistence as a robust indicator of quality of care. To standardise adherence and persistence-related terminology allowing for benchmarking of adherence strategies, the European Ascertaining Barriers for Compliance (ABC) project proposed a Taxonomy of Adherence in 2012 consisting of three components: initiation, implementation, discontinuation. Persistence, which immediately precedes discontinuation, is a key element of taxonomy, which could capture adherence chronology allowing the examination of patterns of medication-taking behaviour. Advances in eHealth and Information Communication Technology (ICT) could play a major role in providing necessary structures to develop persistence indicators. We propose measuring persistence as an informative and pragmatic measure of medication-taking behaviour. Our view is to develop quality and performance indicators of persistence, which requires investing in ICT solutions enabling healthcare providers to review complete information on patients’ medication-taking patterns, as well as clinical and health outcomes. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 4.614 2021 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 45 / 183 = 0.246 2021 Q1 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 71 / 210 = 0.338 2021 Q2 T2 ENVIRONMENTAL SCIENCES 100 / 279 = 0.358 2021 Q2 T2 0.814 2021 Pollution 2021 Q1 Health, Toxicology and Mutagenesis 2021 Q1 4.5 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Cahir, Caitriona Malo, Sara Universidad de Zaragoza (orcid)0000-0002-7194-8275 Aguilar-Palacio, Isabel Universidad de Zaragoza (orcid)0000-0001-7293-701X Almada, Marta Costa, Elisio Giardini, Anna Gil Peinado, María Massot Mesquida, Mireia Mucherino, Sara Orlando, Valentina Parra-Calderón, Carlos Luis Pepiol Salom, Enrique Kardas, Przemyslaw Vrijens, Bernard 1011 615 Universidad de Zaragoza Dpto. Microb.Ped.Radio.Sal.Pú. Área Medic.Prevent.Salud Públ. 18, 9 (2021), 4872 [9 pp.] Int. j. environ. res. public health International journal of environmental research and public health 1661-7827 607764 http://zaguan.unizar.es/record/107416/files/texto_completo.pdf Versión publicada 2794657 http://zaguan.unizar.es/record/107416/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:107416 articulos driver 2023-05-18-14:30:21 ARTICLE