Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study
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-fact...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-09-01
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| Series: | BMC Family Practice |
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| Online Access: | http://link.springer.com/article/10.1186/s12875-019-1019-3 |
| _version_ | 1818119973359321088 |
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| author | Cesar I. Fernandez-Lazaro Juan M. García-González David P. Adams Diego Fernandez-Lazaro Juan Mielgo-Ayuso Alberto Caballero-Garcia Francisca Moreno Racionero Alfredo Córdova Jose A. Miron-Canelo |
| author_facet | Cesar I. Fernandez-Lazaro Juan M. García-González David P. Adams Diego Fernandez-Lazaro Juan Mielgo-Ayuso Alberto Caballero-Garcia Francisca Moreno Racionero Alfredo Córdova Jose A. Miron-Canelo |
| author_sort | Cesar I. Fernandez-Lazaro |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T05:18:42Z |
| format | Article |
| id | doaj.art-404007016ee645aeb5ee4d140671d19a |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-11T05:18:42Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-404007016ee645aeb5ee4d140671d19a2022-12-22T01:19:44ZengBMCBMC Family Practice1471-22962019-09-0120111210.1186/s12875-019-1019-3Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional studyCesar I. Fernandez-Lazaro0Juan M. García-González1David P. Adams2Diego Fernandez-Lazaro3Juan Mielgo-Ayuso4Alberto Caballero-Garcia5Francisca Moreno Racionero6Alfredo Córdova7Jose A. Miron-Canelo8Department of Biomedical and Diagnostic Sciences, School of Medicine, University of SalamancaDepartment of Sociology, Pablo de Olavide UniversityDual Enrollment Program, Point University-Savannah CampusDepartment of Cell Biology, Histology and Pharmacology, University of ValladolidDepartment of Biochemistry, Molecular Biology and Physiology, Faculty of Physical Therapy, University of ValladolidDepartment of Anatomy and Radiology, University of ValladolidCastile and Leon Healthcare ServicesDepartment of Biochemistry, Molecular Biology and Physiology, Faculty of Physical Therapy, University of ValladolidDepartment of Biomedical and Diagnostic Sciences, School of Medicine, University of SalamancaAbstract 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.http://link.springer.com/article/10.1186/s12875-019-1019-3Treatment adherenceMedication adherencePatient adherencePatient educationChronic conditionsMultidimensional factors |
| spellingShingle | Cesar I. Fernandez-Lazaro Juan M. García-González David P. Adams Diego Fernandez-Lazaro Juan Mielgo-Ayuso Alberto Caballero-Garcia Francisca Moreno Racionero Alfredo Córdova Jose A. Miron-Canelo Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study BMC Family Practice Treatment adherence Medication adherence Patient adherence Patient education Chronic conditions Multidimensional factors |
| title | Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study |
| title_full | Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study |
| title_fullStr | Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study |
| title_full_unstemmed | Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study |
| title_short | Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study |
| title_sort | adherence to treatment and related factors among patients with chronic conditions in primary care a cross sectional study |
| topic | Treatment adherence Medication adherence Patient adherence Patient education Chronic conditions Multidimensional factors |
| url | http://link.springer.com/article/10.1186/s12875-019-1019-3 |
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