[AVBC 2025] Capturing Medication Adherence and Experience in Multidisciplinary Chronic Kidney Disease (CKD)
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
16 December 2025
To assess medication adherence and evaluate the quality of healthcare delivery from the patient's perspective using. Routine use of PROMs and PREMs effectively identified barriers, improved adherence, and enhanced patient satisfaction in a.
Year Submitted: 2025
Published Date: 16 December 2025
Tags: Care Process ＆ Redesign, Value Based Care, Safe Care, Adherence Rate, Patient Reported Experience Measures, Patient Reported Outcome Measures
About this Content
Aims
To assess medication adherence and evaluate the quality of healthcare delivery from the patient's perspective using Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) in a multidisciplinary CKD clinic.
Background
Medication adherence is critical in CKD management due to polypharmacy and complex regimens. High pill burden and side effects can lead to suboptimal adherence, worsening disease outcomes, and increasing hospitalizations. Traditional measures like refill records may not capture patient-specific barriers.
Methods
PROMs and PREMs were used to assess medication adherence and healthcare quality. The study included CKD patients in stages 4 and 5, excluding those in nursing homes, with life-limiting malignancies, over 80 years old, or under active immunosuppression. The time period was from July 2022 to December 2024.
Results
Medication adherence improved across successive clinic visits. Nearly all patients reported feeling more confident in managing their medications. PROMs identified common barriers to adherence as forgetfulness, being out of routine, and being too late with doses.
Conclusion
Routine use of PROMs and PREMs effectively identified barriers, improved adherence, and enhanced patient satisfaction in a multidisciplinary CKD clinic.
Lessons Learnt
The integration of PROMs and PREMs adds value beyond traditional adherence measures by revealing patient-specific barriers and providing direct insights into healthcare quality from the patient's perspective.
Keywords
medication, adherence, CKD, PROMs, PREMs, nephrology
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Pharmacy |
Applicable Specialty or Discipline | Nephrology |
Project Lead(s) | Peh Xyn Yen Leticia |
Project Member(s) | Weng Wanting |
Connect with this contributor!
Peh Xyn Yen Leticia - leticia_xy_peh@ttsh.com.sg