In this scenario, the ABC (Ascertaining Barriers to Compliance) project was created as a European initiative consisting of research groups operating in the field of adherence to medications funded by the European Commission, Seventh Framework Programme. Standardized terminology is essential to fully understand the medication adherence phenomenon and to enable a reproducible process in various languages, aiming to compare the results obtained from medication adherence studies conducted worldwide. Thus, medication adherence represents a complex and multifaceted process, and understanding and improving it are an urgent imperative in the present and future health care landscape, considering the increase in multimorbidity and population aging. Moreover, complex drug characteristics (such as tablet size/dosage unit size, time and method of drug intake, pill burden) and difficulties in accessing healthcare services may also hinder medication adherence. On the other hand, a lack of social and family support and a poor alliance between the clinician and the patient may also undermine medication adherence. On one hand, cognitive impairment, previous negative experiences with medications, poor health literacy, beliefs, and fears of side effects, and drug–drug interactions may threaten medication adherence. Many subjective, relational, and environmental aspects may contribute to non-adherence. For instance, experts estimate that poor adherence is causing €125 billion in avoidable hospitalizations, emergency care, and outpatient visits in Europe and $105 billion in the United States per year, and this expenditure is going to increase in the next few years. The literature is growing, describing the pervasiveness of poor medication adherence, which experts recognize as a significant public health concern mainly related to adverse health care outcomes and increased health care costs. In recent years, there has been a rapid increase in scientific interest in patient medication adherence. Retrieved from Īuthor(s): Sara Mucherino Marina Maffoni Clara Cena Lucrezia Greta Armando Marta Guastavigna Valentina Orlando Giancarlo Orofino Sara Traina Anna Giardini Enrica Menditto (corresponding author)
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MLA style: "Italian Translation and Validation of the Original ABC Taxonomy for Medication Adherence." The Free Library.
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