Patients' Perspective of Medication Adherence in Chronic Conditions : A Qualitative Study
Pagès-Puigdemont, Neus (Institut d'Investigació Biomèdica Sant Pau)
Mangues, Ma Antonia (Institut d'Investigació Biomèdica Sant Pau)
Masip, Montserrat (Institut d'Investigació Biomèdica Sant Pau)
Gabriele, Giovanna (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Fernández Carou, Loly (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Blancafort Alias, Sergi (Universitat Autònoma de Barcelona. Fundació Salut i Envelliment)
Tuneu, Laura (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Date:	2016
Abstract:	About 50% of patients do not take their long-term therapy for chronic conditions as prescribed. Many studies have centered on patients' adherence to a specific treatment or single conditions, but few have taken all chronic conditions into consideration from a patient's perspective. This study aims to explore factors that impact on drug compliance and to identify strategies to improve this from the perspective of patients with at least one chronic condition. Patients were recruited by healthcare professionals from a hospital pharmacy, four community pharmacies, patient associations, and a primary care center in Barcelona. Five focus groups were conducted (N = 36). Conversations were audiotaped and transcribed verbatim to allow qualitative analysis. Study subjects were aged 39-90 years (mean 65 years) and the mean number of comorbidities per patient was 2. 3 (range 1-7). The main modifiers of therapeutic conduct were: patients' health beliefs, patient-prescriber relationships, and patients' motivation and perception of illness control. Study participants wanted greater participation in decision-making concerning their health and increased education about their illness and medication. They also wanted individualized healthcare that took their preferences and personal and emotional issues into account. Our results highlight how the patient-prescriber's relationship and factors such as health beliefs, motivation and perception of illness control impact on medication adherence in chronic patients. Future interventions to optimize adherence to treatment should focus on shared decision-making and more extensive health education.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Chronic patients ; Medication adherence ; Shared decision-making ; Therapeutic adherence ; Therapeutic alliance
Published in:	Advances in Therapy, Vol. 33 (august 2016) , p. 1740-1754, ISSN 1865-8652

DOI: 10.1007/s12325-016-0394-6
PMID: 27503082

15 p, 523.7 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Fundació Salut i Envelliment UAB
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
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Articles > Published articles