BMC Family Practice· 2019
Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study
- 316citations
- 2019year
Short summary
In Spanish primary care, 55.5% of patients with chronic conditions adhered to their treatment, with older age, fewer pharmacies used for refills, complete treatment information, adequate medication knowledge, and good self-perceived quality of life being independent predictors of adherence.
AI-generated from the title and abstract; the full text is not read.
Key points
- 55.5% of patients with chronic conditions in Spanish primary care were adherent to their treatment.
- Older age (per 10-year increment) was associated with higher adherence (aOR 1.31).
- Factors positively associated with adherence included complete treatment information (aOR 3.89), adequate medication knowledge (aOR 4.17), and good self-perceived quality of life (aOR 2.17).
- Using fewer pharmacies for medication refills was associated with higher adherence (aOR 0.65).
AI-generated from the title and abstract; the full text is not read.
Abstract
BACKGROUND: Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. METHODS: A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization - social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. RESULTS: The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10-year increment, 95% CI 1.01-1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47-0.90), having received complete treatment information (3.89, 95% CI 2.09-7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23-7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18-4.02) were independent factors associated with adherence. CONCLUSIONS: Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients' education and their information needs.
The authors' abstract, as published at the source. BMC Family Practice, 2019 · DOI ↗
Continue with a free account
Ask the paper: 3 free questions a day about this paper; save it, get its citation, new summaries every day for your field. Takeaways are Premium.
Continue free on the webSign in with Google or Apple; no card needed. You come back to this paper.
On your phone:
Field: Family Practice
Family PracticeMedicine