(2003; 211 pages)
Chapter VI - How can improved adherence be translated into health and economic benefits?
Many studies have reported institutional changes in costs following changes in adherence rates. Some studies have shown that initial investments in interventions to enhance adherence are fully recovered within a few years and recurrent costs are fully covered by savings. These "cost-saving interventions" are firmly linked to the prevention of disease relapses, crises and/or complications.
From a societal point of view, most interventions aimed at enhancing adherence have been shown to result in cost-savings, due to the improvement in patients' quality of life, indirect costs avoided and increased productivity. Such savings are not reflected in economic studies with an institutional perspective.