2013
DOI: 10.2147/ppa.s38373
|View full text |Cite
|
Sign up to set email alerts
|

Incomplete medication adherence of chronically ill patients in German primary care

Abstract: BackgroundIncomplete medication adherence is a major problem in health care worldwide. Patients who adhere to medical treatment have a better prognosis and create fewer costs.ObjectiveTo assess the degree of incomplete adherence of chronically ill routine primary care patients in a German setting and analyze the association between incomplete medication adherence, as well as clinical and sociodemographic patient characteristics. Methods: In a cross-sectional survey, chronically ill patients were asked to asses… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1
1

Citation Types

0
21
0

Year Published

2014
2014
2024
2024

Publication Types

Select...
8

Relationship

0
8

Authors

Journals

citations
Cited by 17 publications
(21 citation statements)
references
References 41 publications
0
21
0
Order By: Relevance
“…This is important as dysregulation of the normal myelination trajectory may contribute to the functional deterioration and treatment resistance observed in chronic schizophrenia [139]. The clinical imperative to reduce relapse rates stems also from the added economic burden of treating relapse, possibly leading to unavoidable hospital admissions [134,[141][142][143][144][145][146][147]. Finally, relapses due to medication non-adherence can have devastating social consequences themselves.…”
Section: Results Of Descriptivementioning
confidence: 99%
“…This is important as dysregulation of the normal myelination trajectory may contribute to the functional deterioration and treatment resistance observed in chronic schizophrenia [139]. The clinical imperative to reduce relapse rates stems also from the added economic burden of treating relapse, possibly leading to unavoidable hospital admissions [134,[141][142][143][144][145][146][147]. Finally, relapses due to medication non-adherence can have devastating social consequences themselves.…”
Section: Results Of Descriptivementioning
confidence: 99%
“…(29) The instrument has been used in a variety of populations, and across multiple chronic diseases, including COPD. (27, 3035) The 10 items included in the instrument address primary medication use and are phrased to avoid social desirability bias. (29) Responses are scored on a 5-point Likert scale, and a final score is assigned based on the average of the 10 responses.…”
Section: Methodsmentioning
confidence: 99%
“…For example, we considered obesity as a potentially important unmeasured confounder because obesity is a major predictor of diabetes (15) and can influence adherence to statin therapy (16,17), which means that failing to adjust for its effects can move the results toward or away from the null. We made a quantitative assessment of the obesity-related bias by using the Monte Carlo sensitivity analysis (18).…”
Section: Sensitivity Analysesmentioning
confidence: 99%
“…We made a quantitative assessment of the obesity-related bias by using the Monte Carlo sensitivity analysis (18). We set 1) the prevalence of the obesity among users of statins to 37.5% (19), 2) the risk of diabetes in obese patients to threefold higher than in normal weight patients (15), and 3) the odds of obese patients belonging to the highest PDC category from twofold lower to twofold higher than that of normal weight patients (16,17). The Monte Carlo sensitivity analysis corrected the observed HRs for the bias factor calculated from the previously mentioned data and took into account random uncertainty for adjusting estimates.…”
Section: Sensitivity Analysesmentioning
confidence: 99%