Patient Perception of Physicians and Medication Adherence Among Older Adults With Hypertension

Abstract

Objective: To assess association between patient perception of physicians and adherence to antihypertensive medication among Medicare beneficiaries. Method: Logistic regression was used to assess association between the Patient Perception of Physicians Scale score and adherence to antihypertensive medication. The 2007 Medicare Current Beneficiary Survey data were used to create a 12-item patient perception of physician scale and 2008 Medicare Part D claims to assess adherence. Results: There were 2,510 beneficiaries included in the sample. The mean age was 76.4 years ( SD = ±6.88 years). Sixty-five percent of the sample was adherent in filling their antihypertensive medication. Beneficiaries with more favorable perceptions of their physician (scores 37 or higher) were more likely to be adherent to antihypertensive medications than beneficiaries with scores less than 37 (odds ratio [OR] = 1.341, 95% confidence interval [CI] = [1.101, 1.632], p = .0035). Discussion: These findings provide some evidence that patient perceptions of their physician are associated with adherence, and that the physician–patient relationship is an important factor.

Medication Adherence of Older Adults with Hypertension: A Systematic Review

“…Seven of the included studies reported a consistent trend: a higher number of prescribed hypertensive medications correlated with lower medication adherence. 13,16,20,23,24,28,29 This aligns with robust evidence from a nationwide study conducted in the Republic of Korea, which aimed to investigate the impact of the number of medications and age on antihypertensive medication adherence. The study demonstrated a significant decline in adherence when nine or more total medications were taken, irrespective of age.…”

Urinary incontinence prevalence and factors associated with patients talking with doctors about urine control

“…[ 28 ] (2020) reported that patient–provider relationship had a positive effect on Black cancer survivors’ health outcomes, especially when they had a positive perception of quality care from their doctor. Furthermore, Ward and Thomas (2020)[ 25 ] found evidence that positive patient perceptions of their physicians were associated with greater adherence to hypertension medication. We found that Medicare beneficiaries with more positive perceptions of their doctors were more likely to speak to them about experiencing UI compared to those with less favorable perceptions.…”

“…Questions that were negatively worded, such as “Your doctor seems to be in a hurry,” “Your doctor often does not explain your medical problems to you,” and “Your doctor often acts as though he/she was doing you a favor by talking to you,” were reverse-coded, whereby “4” indicated strongly disagree, “3” indicated disagree, “2” indicated agree, and “1” indicated strongly agree. All values were summed to produce a “patient perception of physician scale.”[ 25 ] Higher scores were indicative of more positive perceptions of the physicians.…”

Ambient intelligence for long-term diabetes care (AmILCare). Qualitative analysis of patients’ expectations and attitudes toward interactive technology

“…The interviews revealed the willingness of patients to participate in the project and some of their preferences. As shown in Table 2, they wish to control blood pressure, presumably because they experience this noninvasive manouvre during medical examinations [15], and prefer to discuss their health problems with their doctor, as in our clinic they spend more time talking with physicians than other professionals [16]. In terms of benefits expected of an AmI environment, women preferred to receive advice on nutrition but did not ask for specific information.…”