• Hayden B Bosworth, Stephen P Fortmann, Jennifer Kuntz, Leah L Zullig, Phil Mendys, Monika Safford, Shobha Phansalkar, Tracy Wang, and Maureen H Rumptz.
• Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA. hayden.bosworth@duke.edu.
• J Gen Intern Med. 2017 Jan 1; 32 (1): 93-100.

AbstractMedication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., involving patients and their families in planning their health care) is increasingly emphasized as a promising approach for improving medication adherence, but clinician education around what this might look like in a busy primary care environment is lacking. We use a case study to demonstrate key skills such as motivational interviewing, counseling, and shared decision-making for clinicians interested in providing patient-centered care in efforts to improve medication adherence. Such patient-centered approaches hold considerable promise for addressing the high rates of non-adherence to medications for chronic conditions.

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