Primary Care Records of Chronic-Disease Patient Adherence to Treatment
Massot Mesquida, Mireia (Institut Català de la Salut)
De La Fuente, Josep Anton (Institut Català de la Salut)
Andrés-Lorca, Anna (Institut Català de la Salut)
Arteaga Pillasagua, Ingrid (Institut Català de la Salut)
Balboa Blanco, Edelmiro (Institut Català de la Salut)
Gracia Vidal, Sonia (Institut Català de la Salut)
Pablo Reyes, Sara (Institut Català de la Salut)
Gómez Iparraguirre, Paula (Institut Català de la Salut)
Seda-Gombau, Gemma (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Torán Monserrat, Pere (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)

Fecha:	2021
Descripción:	11 pàg.
Resumen:	The goal of managing adherence (AD) is to achieve better medication use by patients in order to maximize benefits and reduce risks. With the aim of improving treatment adherence by patients, we carried out a descriptive study to obtain information related to adherence management in primary care. Inclusion criteria were as follows: patients that had at least one record of any treatment adherence assessment variable. For those that had more than one recorded variable, we analyzed consistency across test results. For the comparative analysis of adherence records, patients were categorized into three groups on the basis of the healthcare unit that recorded the data: case management (CM), home care (HC), and primary care team (PCT). A total of 32,137 subjects met inclusion criteria; 79. 56% of subjects were older than 65. As for the analysis of assessment records across care units, 69. 73% of CM patients, 67. 17% of HC patients, and 2. 33% of PCT patients had adherence assessment records. CM units made a significantly greater number of records than HC units. We observed low adherence at a rate of 49. 3% in the CM group, 31. 91% in the HC group, and 17. 58% in the PCT group. When more than one adherence variable was recorded, analysis revealed inconsistent test results or recorded variables in 9. 06% of PCT cases, 14. 83% of HC cases, and 20. 47% of CM cases. The inconsistencies observed in records of adherence assessment and management across different care units reveal the huge variability that exists in managing and selecting a tool to assess adherence.
Derechos:	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, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Medication adherence ; Chronic diseases ; Primary care ; Healthcare evaluation mechanisms
Publicado en:	International journal of environmental research and public health, Vol. 18, Num. 7 (April 2021) , ISSN 1660-4601

DOI: 10.3390/ijerph18073710
PMID: 33918156

11 p, 820.0 KB

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