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From 2007 to 2009, the Medication Adherence Project (MAP) was developed and implemented by the Cardiovascular Prevention and Control Program and the Fund for Public Health in New York, with funding from the Physicians Foundation. The project responded to the needs of clinicians and pharmacists working in busy primary care practices serving patient populations affected by multiple chronic diseases.
According to the Health Resources and Services Administration, "only 50% of patients with chronic illnesses maintain 'good adherence' (taking >80% of medication doses) over time." Needs assessments conducted by MAP also found that clinicians identified poor medication adherence as one of the greatest barriers to achieving optimal outcomes in their patients with chronic disease.
In response, MAP developed and implemented a training course and toolkit to help health care teams and pharmacists engage patients in productive conversations about medicine-taking. The MAP objectives were:
MAP trained 90 participants from 28 health care sites and pharmacies around New York City.
Post-training surveys showed that providers were more satisfied with patient interactions after participating in MAP.
Although in-person MAP trainings are no longer being conducted, the MAP tools and information on a MAP training manual are available for download at:
http://www.nyc.gov/html/doh/html/csi/csi-detailing.shtml
The Fund for Public Health in New York has also produced four supplemental videos to accompany the training manual. They are designed to enhance understanding of adherence issues faced by the patient and the provider. The videos can be found below.
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