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Adherence : time for a new definition?

In this conceptual paper we derive a new definition of adherence by assessing definitions of patient adherence, behavior and consumption theories, and evidence from field experiments and modelling recorded in over thirty papers covering 40 years of research. This definition takes patient centricity as its starting point. If this definition were to be adopted it would have implications on the practitioner-patient relationship and on pharmaceutical manufacturers; these are also considered.