Patients and Physicians Beliefs and Practices Regarding Adherence to Cardiovascular Medication

Abstract

Physicians acknowledge the importance of discussing adherence to medication with their patients, yet for many reasons these discussions are uncommon. More important, our study found a notable failure by cardiologists to correctly recognize which of their patients were nonadherent. The novel design of our research identified an important yet neglected aspect of clinical practice. We recommend that physicians include a highly specific question about adherence to medication at every patient visit.

Optimization of Drug Prescription and Medication Management in Older Adults with Cardiovascular Disease

“…A survey of paired patient-physician respondents found that 61% of patients rarely or never discussed adherence with their physicians, and two-thirds of the patients had moderate or poor adherence. Although the physicians agreed that adherence was important, 67% were unaware of how often their patients missed medication [14]. Despite the potential role of the physician in promoting adherence, continuity of care with a physician was not associated with patient adherence to antihypertensive drugs among Medicare beneficiaries in a study of Part D and Medicare claims data [15].…”

The Problem of Adherence to Therapy in Cardiology

“…Более приверженными являются пациенты, регулярно посещающие очные консультации врача и получающие исчерпывающую информацию о состоянии своего здоровья и назначаемой терапии. В исследовании, выполненном в Чикаго, установлено, что 61 % пациентов никогда не обсуждали со своим лечащим врачом важность приверженности к терапии [43]. При этом в 13 % случаев имелась низкая приверженность к терапии.…”

Meta‐Analysis of Medication Adherence Interventions Among Heart Failure Patients: The Lumpers Make Their Case

“…More importantly, the onus cannot just be on the patient; clinicians should also address these issues during patient encounters but often do a poor job. Recent survey data suggest that over 60% of patients in cardiology practices do not remember discussing medication adherence with their physicians . Fortunately, the authors of this meta‐analysis acknowledge that their findings should be interpreted with caution, but conclusions such as these serve as examples of inherent problems with meta‐analyses.…”