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The most expensive pill in the world

...is the one people don't take

 

 

Only 50% of pharmaceutical doses are taken as prescribed

 

Between 30% and 60% of all medication-related hospital admissions in the US are due to poor adherence

 

Poor adherence in the US is estimated to cost approximately

US$100 billion annually

Poor adherence cost DKK 4-6 billion (Mia DKK) annually in Denmark

 

 

A multi-dimensional problem

 

No single intervention strategy can improve the adherence of all patients

 

Physician–patient partnerships are essential when choosing amongst various therapeutic options to maximize adherence.

 

Mutual collaboration fosters greater patient satisfaction, reduces the risks of nonadherence, and improves patients’ healthcare outcomes.

 

PICASSO

 

Based on learnings from compliant patients, we at PLUMBAGO have developed a ”checklist” for physicians, called "PICASSO", to guide physician-patient relationships.

 

The PICASSO checklist and dialogue tool was developed

 

1. to build on the patient-doctor alliance,

 

2. to quantify all known factors which effect adherence

 

3. to address all barriers to adherence

 

Patients are provided with better understanding, enhanced involvement, and better management – all essential to adherence.

 

PICASSO can assist the doctor in examining barriers to adherence in an effective, methodical and structured manner

 

The PICASSO is in many ways similar to “checklists”

used by other professionals; e.g. airline pilots

 

Integrate individually-reported patient health outcomes & clinical data for better healthcare management

 

Why PICASSO works:

 

1. Patient-Reported-Outcomes

 

2.Physician-Patient Relationship

 

3. Patient involvement in treatment decision (Concordance)

 

are pathways to better understanding, enhanced involvement,

and better disease management

 

Value for doctors

 

By using PICASSO, the doctors can identify patient’s barriers to medication adherence within a short time-frame

 

Repeated use of PICASSO can improve monitoring of their patients, regardless of changes in the patients’ life

 

The PICASSO concept provides a systematic “checklists”, which can be used regardless of the number of patient visits

Value for patients

 

Reduced complications

Improved quality of life

Increased capacity to work

Avoiding early death

 

 

 

 

Value for healthcare system

 

Fewer unneccessary consultations

Fewer hospitalisation

Fewer re-admissions

Reduced healthcare costs

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