Abstract
Nonadherence to prescribed medication is a severe problem in asthma, leading to increased health-care costs, and has been reported to be a risk factor for asthma-related mortality in children. The causes of nonadherence are multifactorial and include patient factors, communication factors, and treatment regimen factors. The relative impact of these factors on adherence as well as useful strategies for improving adherence are explored. The clinician needs to accurately assess the cause of the nonadherence to determine the appropriate intervention. The single most important factor for enhancing adherence is the development of a trusting relationship between the clinician and patient.
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