The Role of the Physician in Patient Perceptions of Barriers to Primary Adherence With Acne Medications

JAMA Dermatology
Kira L RyskinaJules B Lipoff

Abstract

Primary nonadherence with acne medications is high but commonly underreported to prescribing physicians. To describe patient experiences with primary nonadherence to medications for acne and to identify physician-level factors that may improve adherence in this population. A qualitative analysis was conducted from structured interviews with patients reporting nonadherence with acne medications at a large academic health system in the Philadelphia, Pennsylvania, area. Three hundred eighty-five patients from 4 dermatology practices in the Philadelphia area were screened for primary nonadherence with a newly prescribed acne medication. Twenty-six patients participated in structured interviews conducted between November 30, 2016, and January 31, 2017. Thematic analysis of the transcripts was performed to detect recurrent themes and divergent ideas with a focus on modifiable physician-level factors that might improve primary adherence to medications for acne. Participants (19 [73%] women, 6 [23%] aged <26 years, 15 [58%] aged 26-40 years, and 5 [19%] aged >40 years) reported cost as the major barrier to initiating therapy. Despite anticipating this barrier, they rarely brought up costs with physicians during the initial visit and ge...Continue Reading

Citations

Jan 17, 2019·JAMA Dermatology·John S BarbieriDavid J Margolis
Jun 9, 2020·International Journal of Dermatology·Sara YumeenAndrea D Maderal
Apr 21, 2020·The Journal of Dermatological Treatment·Erin K CollierVivian Y Shi
Feb 11, 2021·Expert Review of Pharmacoeconomics & Outcomes Research·Abdallah NaserGhaydaa Ramzi Al-Hallaq
May 3, 2020·Pediatrics·Kaiane A Habeshian, Bernard A Cohen

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