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Therapeutic Adherence · Chronic Diseases

The patient who gave up on apps
still answers the phone

Qonstio supports chronic patients with diabetes and hypertension through Naira, a voice agent that calls, listens, and motivates. No app. No smartphone. Just a phone call.

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50%
of chronic patients
don't follow their treatment (WHO)
€290B
annual cost of non-adherence
across Europe
22M
people with chronic conditions
in Spain alone
80%
of healthcare spending
linked to chronic disease

Three root causes no one
addresses together

Reminder apps systematically fail with the most costly patient profile: people over 60 with a history of digital drop-off.

Operational forgetting

The patient doesn't remember to take their medication at the right time. Push notifications don't reach them, go unseen, or are simply ignored.

Motivational disconnect

HbA1c isn't felt. Blood pressure doesn't hurt. The benefits are invisible in the short term while the effort is daily and immediate.

The gap between visits

The doctor sees the patient every 3–6 months. In that interval, no one detects the early signs of abandonment or resolves the patient's specific doubts.

A voice agent that supports without friction

Naira calls the patient at the agreed time. No downloads, no passwords, no touchscreen needed. They just have to pick up the phone.

Just a phone call

Works with any mobile or landline. Designed for older patients with low digital literacy.

Conversational memory

Naira remembers what the patient said the week before and builds an ongoing follow-up relationship — not a generic call.

Reports for the professional

Every interaction generates structured data for the pharmacist or program manager: adherence levels, patient status, and alert signals.

Naira
Conversational voice agent

Three layers. One agent.

Qonstio integrates into a single voice interface the three interventions that evidence shows are necessary to sustain long-term adherence.

Layer 01

Adaptive reminder

Naira calls the patient at the agreed time. It detects patterns of missed doses and automatically escalates if several days go by without adherence — no action required from the patient.

Operational adherence
Layer 02

Behavioural motivation

Visible progress through streaks and personalised narrative. Reflective questions based on the ReflectEasy methodology help the patient maintain the habit when the benefit is invisible.

Sustained adherence
Layer 03

Conversational clinical follow-up

Periodic conversations to track symptoms and overall condition. Early detection of decompensation signals. Structured reports for the healthcare professional or pharmacist.

Clinical evidence

The patient no one reaches well
and the stakeholders who need it

Qonstio operates on a B2B model. The patient is the end user; the client is the institutional actor with a measurable economic problem.

Pharmaceutical companies

Improved adherence to chronic products

Non-adherence reduces perceived efficacy. Qonstio enables patient support from the pharmacy side without adding burden to the medical team.

Private insurers

Reduction of avoidable readmissions

Every percentage point gained in adherence directly translates into lower claims costs from DM2 and hypertension complications.

Hospitals / NHS

Scale without increasing headcount

Follow-up for chronic patients between visits at no in-person consultation cost. Reduction of avoidable readmissions.

Community pharmacy

Real follow-up between visits

The pharmacist receives structured patient data without having to call them. The pharmacy becomes an active care touchpoint.

The differentiator isn't the voice.
It's what it says.

Proprietary behavioural methodology

ReflectEasy applies structured questions to detect drop-off signals before they happen — not post-hoc. No competitor captures that dataset.

Built for the hardest-to-reach profile

Over 60, low digital literacy, history of abandonment. For this profile, the voice interface isn't a convenience — it's the only real access point.

Behavioural data that exists nowhere else

Pre-abandonment signals captured through longitudinal conversation. Proprietary IP that no generalist model can replicate without that validation process.

Configurable by condition and protocol

The institutional client defines the protocols. Qonstio adapts to each programme's needs and portfolio — not the other way around.

"The patient who costs the system the most — and whom no current actor serves well — is the one who already abandoned one or more apps. For that profile, the voice interface completely changes the access equation."
— Vanesa Bravo, Founder of ReflectEasy SL

Want to see Naira in action?

Let's talk for 30 minutes. We'll run a live demo with a real call to the patient profile you're most interested in.

contacto@qonstio.com
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