Adherence as a language game

Int J Clin Pharm. 2017 Apr;39(2):487-490. doi: 10.1007/s11096-017-0445-3. Epub 2017 Mar 2.


Non-adherence, i.e. medication intake behavior not corresponding with agreed recommendations, is associated with increased morbidity and death, and it has been estimated that as many as 50% of patients in developed countries are not taking their medications as prescribed. But even as efforts in improving medication adherence over the years have increased, results are inconsistent, with only a minority of clinical trials showing any improvement in both adherence and clinical outcome. Since patient education is central to promoting good medication adherence, and language is integral to education, perhaps an exploration of the meaning and use of language, using the philosophy of Ludwig Wittgenstein, is in order.

Keywords: Adherence; Communication; Patient counselling; Philosophy of language.

MeSH terms

  • Humans
  • Language*
  • Medication Adherence*
  • Patient Education as Topic*