Adherence And Persistence Programs - Gentium Healthcare

Adherence And Persistence Programs

For many chronic diseases, treatment outcomes largely depend on the active participation of patients in their treatment(Demoly et al. 2016). However, as ChesneyMargaret points out in Volume 30 of the Clinical Infectious Diseases of June 2000, nonadherence to medications remains widespread among patients with chronic diseases. This is widely evident in clinical practice and trials worldwide.  

Researchers have determined that patients fail to keep up with their medication or treatment plans because of forgetfulness, perceived lack of efficacy of the medication and many other reasons. More specifically, a report published by the American Medical Association identifies fear of potential side effects as a critical reason for intentional nonadherence. The report further says that the cost of medication, lack of understanding of the need for medication, delayed results and the nature of side effects also have an impact on adherence to medication.

Since most treatment regimens may not be successful without patients’ active participation, interventions that encourage adherence are key to achieving better treatment outcomes and improving people’s quality of life overall. These should cut across scheduling of appointments for patients and dose reminder calls,to designing of customized adherence plans for different patients.


Chesney, M.A., 2000. Factors affecting adherence to antiretroviral therapy. Clinical Infectious Diseases30(Supplement_2), pp.S171-S176.

Demoly, P., Passalacqua, G., Pfaar, O., Sastre, J. and Wahn, U., 2016. Patient engagement and patient support programs in allergy immunotherapy: a call to action for improving long-term adherence. Allergy, Asthma & Clinical Immunology12(1), p.34.

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Caregiver Support Programs - Gentium Healthcare

Caregiver Support Programs

To improve treatment outcomes and overall quality of life is often the primary goal of any treatment plan for people with chronic or life-changing health conditions. Being associated with severe effects on the patient’s quality of life and high rates of nonadherence, treatment outcomes of these diseases heavily depend on the level and quality of support the patients get. Caregivers play a critical role in providing their sick family members with the required support in the form of physical, emotional, and moral care.

According to Lloydet al. (2017), patients of such diseases as schizophreniathat require long-term treatment can experience a better quality of life with antipsychotic medications which tend to ameliorate some symptoms over time, though individual responses differ.

There are those who will discontinue medication because of debilitating side effects or poor efficacy. In such cases, caregivers provide the much-needed support to ensure the patient follows through with the recommended and treatment plan as agreed upon by both the patient and the physician.

Caregiver support programs are therefore crucial as they provide caregivers with the training, educational resources, and multiple tools they (carers) need to perform their role successfully.


Lloyd, J., Lloyd, H., Fitzpatrick, R. and Peters, M., 2017. Treatment outcomes in schizophrenia: qualitative study of the views of family carers. BMC Psychiatry17(1), p.266.

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Customized CME Programs - Gentium Healthcare

Customized CME Programs

Research has indicated that continuing medical education has the huge potential to improve physician performance. In a 2015 study published in the Journal of the American Academy of Dermatology, a group of researchers found that the CME activity under study led to significantly improved documentation of patient’s history, shared decision making, and patient counseling for lifestyle behaviors among the medical practitioners in the study population.

Continuing medical education generally consists of educational activities that serve to maintain, develop and/or increase a physician’s knowledge, hone their skills, and improve their professional performance. CME also improves the way physicians relate with patients, fellow professionals, and the public as they provide services.

According to the Keck School of Medicine USC, continuing medical education utilizes materials and events that address professional practice gaps in the community while fostering physicians and other practitioners’ continuing professional development. It enables individuals to satisfy licensure requirements and eventually leads to improved outcomes in patient health care.

Effective CME programs must provide relevant, evidence-based medical education within various clinical focus areas. This may entail the application of educational best practices and modern technology to optimize the development of the knowledge, skill-set, and building capacity that healthcare professionals require in order to perform safe and effective patient care.


Davis, N., Davis, D. and Bloch, R., 2008. Continuing medical education: AMEE education guide no 35. Medical teacher30(7), pp.652-666.

Gist, D.L., Bhushan, R., Hamarstrom, E., Sluka, P., Presta, C.M., Thompson, J.S. and Kirsner, R.S., 2015. Impact of a Performance Improvement CME activity on the care and treatment of patients with psoriasis. Journal of the American Academy of Dermatology72(3), pp.516-523.

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Patient Network Programs - Gentium Healthcare

Patient Network Programs

Chronic conditions like cancer, heart disease, kidney disease and asthma remain serious causes of mortality and diminished quality of life worldwide. Healthcare providers have developed a wide range of clinical interventions and preventive measures that target the risk populations and patients suffering from such ailments. Some of the prevailing measures include preventive drug therapy, early diagnosis, and treatment while emphasizing comprehensive risk management and lifestyle changes(Heijmans et al. 2014).

According to Jenerette& Mayer (2016), care for cancer and other life-threatening conditions continues to evolve with increasing understanding of the etiology of these diseases, development, and refinement of treatments and delivery models. Still, as Bloomrosen& Sennett (2015) point out, there is an ongoing demand for even more effective strategies to achieve higher-quality, more efficient and accessible healthcare worldwide.

In this respect, there is a need for changes in healthcare systems to embrace care coordination and collaboration among healthcare teams(Bloomrosen& Sennett 2015). It’s also crucial to have an understanding of the dynamic relationship -, particularly communication relationship – between the patient and the healthcare providers as a way to achieve a patient-centric setup. All such setups, as studies have found, are grounded on patient networks. The need to support patient network programs could therefore not be overemphasized.


Bloomrosen, M. and Sennett, C., 2015. Patient engagement: challenges and opportunities for physicians. Annals of Allergy, Asthma & Immunology115(6), pp.459-462.

Heijmans, N., van Lieshout, J. and Wensing, M., 2014. Social networks of health care providers and patients in cardiovascular risk management: a study protocol. BMC health services research14(1), p.265.

Jenerette, C.M., and Mayer, D.K., 2016, May. Patient-provider communication: the rise of patient engagement. In Seminars in oncology nursing (Vol. 32, No. 2, pp. 134-143). WB Saunders.

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Why Patient Assistance Programs? - Gentium Healthcare

Why Patient Assistance Programs?

Despite the debate surrounding patient support programs (PSPs), pharmaceutical companies are increasingly leaning towards these programs to help patients (and healthcare professionals)manage diseases more desirably by enhancing access to the otherwise more expensive prescription treatments.

Patient assistance programs may include medicine compliance plans, financial support to patients, and access to healthcare professionals via online chat centers, phone, or other suitable means. The programs, which often include counseling and medication management advice, have the desired potential to improve care in cases of chronic diseases that require complex therapies (Ganguli et al. 2016).

Studies have revealed that patient support programs also foster patient confidence and compliance with treatment (Khurana et al. 2017). Since lack of adherence to treatment is one of the major challenges limiting the effectiveness of most treatments available for life-threatening chronic diseases, PSPs become very important as a tool to encourage adherence.

As Khurana et al. (2017) observes, patients, require assistance and persistent inspiration to be able to adhere to various treatment plans especially in cases of chronic disease. Implementing patient support programs is therefore not just a way to reduce healthcare costs in the form of copayments, deductibles, and coinsurance; rather, it is also one of the more reliable methods for increasing access to treatment and improving the quality of life overall.


Ganguli, A., Clewell, J., and Shillington, A.C., 2016. The impact of patient support programs on adherence, clinical, humanistic, and economic patient outcomes: a targeted systematic review. Patient preference and adherence10, p.711.

Khurana, A., Rastogi, R. and Gamperl, H.J., 2017. Patient Support Program in Pharmacovigilance: Foster Patient Confidence and Compliance. World Academy of Science, Engineering, and Technology, International Journal of Medical, Health, Biomedical, Bioengineering and Pharmaceutical Engineering11(4), pp.142-145.

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