Back to resources

Swiss healthcare

Medication adherence in Switzerland: why it remains a major health challenge

Medication adherence remains a major Swiss health challenge because long-term treatment depends on repeated actions across daily life. Useful support connects a clear plan, a workable routine, a trustworthy record, and a professional conversation.

Published Last updated

Adherence is a process, not a personality trait

The ABC medication-adherence taxonomy separates starting treatment, following it day by day, and stopping it. Each phase can break for a different reason, so reducing every missed intake to forgetfulness hides the actual barrier.

  • Treatment complexity, side effects, access, beliefs, communication, and routine changes can all matter.
  • A useful response asks where the process breaks before choosing a tool.
  • Support should remain non-judgmental and centred on the person’s treatment plan.

Swiss universities treat adherence as interprofessional care

University of Geneva and University of Lausanne researchers have described programs combining pharmacist conversations, electronic monitoring, and feedback across care teams. These programs show sustained Swiss attention to adherence without proving that one intervention works for everyone.

A record makes patterns visible, not certain

Swiss longitudinal research has used electronic-container openings as a proxy for medication implementation. A record can help people review timing and routine, but an opening or a taken status does not independently prove that medicine was swallowed correctly.

Useful adherence data describes what was recorded and keeps its uncertainty visible.

Free apps can support the routine without replacing care

A 2025 University of Basel study of freely available apps in Swiss app stores found that their outputs only partly matched user needs. Tracking history was valued, while interpretation and contact with healthcare professionals remained important.

Connect the medication plan to daily life

A current medication list is the starting point. Reminders, taken-or-skipped records, and history may make the routine easier to follow and discuss. Questions, side effects, and recurring difficulties still belong with a pharmacist or prescribing clinician.

Sources used in this guide

These references provide context for medication safety, adherence workflows, and the healthcare settings discussed here. They are not Adherlo outcome claims.

Global · authority · 2003

WHO Adherence to Long-Term Therapies

Foundational global reference describing adherence as a multi-factor process rather than a single patient behavior.

Open source

Global · peer-reviewed · 2012

A new taxonomy for describing and defining adherence to medications

Peer-reviewed taxonomy defining initiation, implementation, and discontinuation to make adherence terminology more precise.

Open source

Switzerland · peer-reviewed · 2015

Interdisciplinary Medication Adherence Program in Switzerland

Peer-reviewed description of a Swiss university-community-pharmacy program combining patient interviews, electronic monitoring, and interprofessional feedback.

Open source

Switzerland · peer-reviewed · 2022

Medication adherence evaluated through electronic monitors in Switzerland

Longitudinal Swiss analysis using electronic-container openings as an implementation proxy in 118 supported patients; the records do not confirm ingestion and are not nationally representative.

Open source

Switzerland · peer-reviewed · 2025

Exploring the fit between free adherence apps and users’ needs

Swiss mixed-methods study of nine freely available adherence apps. It found that app outputs only partly matched user needs and supports apps as complements to professional care, not replacements.

Open source

Switzerland · authority · 2025

Therapeutic Products Act revision: medication safety

Official 2025 Swiss policy proposal covering electronic prescriptions and medication plans; implementation details may change during the legislative process.

Open source

Related resources

Make the medication routine easier to see

The free Adherlo medication reminder and management app supports schedules, reminders, intake records, and history. The optional Smart Pillbox adds device cues for suitable routines.