Columna Axios International
Adherence to treatment is not only a medical challenge, but a social problem that requires the collaboration of all the actors involved. From public and private institutions to technology developers, each party has an essential role to play in ensuring that patients are not left unprotected when they leave the hospital.
Eric Gaxiola
Every year, millions of patients around the world face a silent challenge after leaving the hospital: to properly follow their medical treatment. On this path, multiple barriers threaten their recovery, from economic problems to lack of information or access to medicines.
The above was the focus of the recent webinar, organized by Axios International, where health experts explored strategies to improve adherence to treatment, a key aspect to transform health systems in Latin America and the world.
Adherence to treatment is much more than taking medication on time. As explained by Doctor Juan Francisco Galán Herrera, a specialist in pediatrics and infectious diseases, «it is about how well a patient follows their medical regimen, which includes medications, lifestyle changes and other recommendations.» However, factors such as lack of access to treatments, costs, and side effects hinder this process, especially in health systems such as Mexico’s.
From medications to lifestyle modifications
In this regard, doctor David Cervantes Barragán, geneticist at Pemex’s Centro Sur High Specialty Hospital, added that effective communication between doctors and patients is essential. «The patient must be fully informed about their treatment, from medications to lifestyle modifications. Without this precision, any effort can fail.»
In countries like Mexico, economic and cultural barriers are decisive. Silvia Méndez, Country Operations Lead and Head of Operation of the Patient Support Program of Axios International in Mexico, stressed that «the cost of medicines and transportation to health centers represent key challenges for many families.» Added to this are cultural beliefs that sometimes lead patients to prioritize alternative treatments or distrust the medical system.
In turn, Doctor Galán stressed that adherence is also influenced by emotional and psychological factors. «Depression, anxiety and lack of motivation can be just as detrimental as the cost of treatment.» This multifaceted approach requires health systems to not only address physical symptoms, but also patients’ emotional and educational needs.
Whose responsibility is it to ensure that a patient follows their treatment?
The experts agreed that it is a shared task between patients, caregivers, health professionals and institutions. Mendez noted that, at Axios International, support programs are designed to empower the patient and facilitate their process. «We provide personalized education, digital reminders and financial assistance, all with the goal that each patient can follow their treatment without interruptions.»
For his part, doctor Cervantes stressed the importance of a comprehensive approach. «Doctors, institutions and the government have a responsibility to ensure access to affordable, high-quality treatments. But without clear patient engagement, outcomes will be limited.»
In an increasingly digital world, technology is emerging as a key tool to improve adherence. According to Mendez, mobile apps can help patients manage their appointments, track their medications, and receive real-time reminders. «At Axios, we’re working with platforms like Axios Plus, which connect patients, doctors, and pharmacies in a digital ecosystem that makes tracking easier.»
Chronic diseases
In this context, Doctor Galán also highlighted the role of artificial intelligence in the future of medical care. «These tools can provide quick answers to common questions and help patients better manage their treatments.»
In Mexico, public health systems, such as IMSS Bienestar, have implemented programs to address chronic diseases. However, Doctor Galán warned that there is still a long way to go. «While there are valuable initiatives, there is a need to integrate private institutions and organizations like Axios International to maximize available resources.»
Similarly, Doctor Cervantes highlighted the case of Pemex, where applications are being developed to coordinate appointments and treatments. «While these tools are useful, we still need to move toward solutions that include medication reminders and more personalized systems.»
Towards a patient-centred model of care
The seminar concluded with a call to transform the approach to health care. As Mendez explained, «One size does not work for everyone. We need personalized programs that consider each patient’s unique circumstances.» This involves addressing not only financial and logistical barriers, but also building a relationship of trust between the patient and their medical team.
Recent studies support this view. One of them, conducted by Axios International and published in the Journal of Comparative Effectiveness Research, showed that telephone support can reduce mortality by 11%. «These results reinforce the importance of a patient-centered approach, where every interaction is designed to improve their health experience and outcomes,» Mendez concluded.
In short, adherence to treatment is not only a medical challenge, but a social problem that requires the collaboration of all the actors involved. From public and private institutions to technology developers, each party has an essential role to play in ensuring that patients are not left unprotected when they leave the hospital.