Practical issues in medication compliance in hypertensive patients
Jean-Marie Krzesinski1, Marc Leeman21Nephrology Transplantation Department, Domaine Universitaire, Liège, Belgium; 2Department of Internal Medicine and Hypertension Clinic, Erasme University Hospital, Brussels, BelgiumAbstract: Unsatisfactory compliance in the treatment of high blood...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2011-06-01
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| Series: | Research Reports in Clinical Cardiology |
| Online Access: | http://www.dovepress.com/practical-issues-in-medication-compliance-in-hypertensive-patients-a7714 |
| _version_ | 1819016332712083456 |
|---|---|
| author | Krzesinski J Leeman M |
| author_facet | Krzesinski J Leeman M |
| author_sort | Krzesinski J |
| collection | DOAJ |
| description | Jean-Marie Krzesinski1, Marc Leeman21Nephrology Transplantation Department, Domaine Universitaire, Liège, Belgium; 2Department of Internal Medicine and Hypertension Clinic, Erasme University Hospital, Brussels, BelgiumAbstract: Unsatisfactory compliance in the treatment of high blood pressure is frequently due to sequential barriers, such as insufficient patient education about the illness and low motivation to receive any treatment, existence of a large gap between physicians' perceptions of the problem and clinical reality, complexity of the treatment potentially generating adverse effects, and a health care environment with few public education campaigns and incentives for better coordinated supportive care. In order to improve drug compliance, establishment of personalized plans adapted to each patient is required. First, a good doctor–patient relationship is mandatory, with regular education of the patient about hypertension and its risks, discussion about adverse drug effects, and the complexity and cost of treatment. Second, to have any chance of success, the provider should offer convenient appointments and tailor the treatment regimen to the patient's lifestyle and needs, with written instructions. Third, there is a need to promote active patient collaboration with treatment. An innovative combination of home self-measurement of blood pressure, use of new technology options, eg, texting or telemedicine, and creation of a multidisciplinary working team can offer new, effective opportunities. This approach could reduce cardiovascular complications by improving the control of high blood pressure, and thereby the overall costs of hypertension to the health care system.Keywords: arterial hypertension, therapeutic adherence, drug compliance, persistence |
| first_indexed | 2024-12-21T02:45:57Z |
| format | Article |
| id | doaj.art-712fccce2ac14308a78ba5f296b06f5f |
| institution | Directory Open Access Journal |
| issn | 1179-8475 |
| language | English |
| last_indexed | 2024-12-21T02:45:57Z |
| publishDate | 2011-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Research Reports in Clinical Cardiology |
| spelling | doaj.art-712fccce2ac14308a78ba5f296b06f5f2022-12-21T19:18:34ZengDove Medical PressResearch Reports in Clinical Cardiology1179-84752011-06-012011default6370Practical issues in medication compliance in hypertensive patientsKrzesinski JLeeman MJean-Marie Krzesinski1, Marc Leeman21Nephrology Transplantation Department, Domaine Universitaire, Liège, Belgium; 2Department of Internal Medicine and Hypertension Clinic, Erasme University Hospital, Brussels, BelgiumAbstract: Unsatisfactory compliance in the treatment of high blood pressure is frequently due to sequential barriers, such as insufficient patient education about the illness and low motivation to receive any treatment, existence of a large gap between physicians' perceptions of the problem and clinical reality, complexity of the treatment potentially generating adverse effects, and a health care environment with few public education campaigns and incentives for better coordinated supportive care. In order to improve drug compliance, establishment of personalized plans adapted to each patient is required. First, a good doctor–patient relationship is mandatory, with regular education of the patient about hypertension and its risks, discussion about adverse drug effects, and the complexity and cost of treatment. Second, to have any chance of success, the provider should offer convenient appointments and tailor the treatment regimen to the patient's lifestyle and needs, with written instructions. Third, there is a need to promote active patient collaboration with treatment. An innovative combination of home self-measurement of blood pressure, use of new technology options, eg, texting or telemedicine, and creation of a multidisciplinary working team can offer new, effective opportunities. This approach could reduce cardiovascular complications by improving the control of high blood pressure, and thereby the overall costs of hypertension to the health care system.Keywords: arterial hypertension, therapeutic adherence, drug compliance, persistencehttp://www.dovepress.com/practical-issues-in-medication-compliance-in-hypertensive-patients-a7714 |
| spellingShingle | Krzesinski J Leeman M Practical issues in medication compliance in hypertensive patients Research Reports in Clinical Cardiology |
| title | Practical issues in medication compliance in hypertensive patients |
| title_full | Practical issues in medication compliance in hypertensive patients |
| title_fullStr | Practical issues in medication compliance in hypertensive patients |
| title_full_unstemmed | Practical issues in medication compliance in hypertensive patients |
| title_short | Practical issues in medication compliance in hypertensive patients |
| title_sort | practical issues in medication compliance in hypertensive patients |
| url | http://www.dovepress.com/practical-issues-in-medication-compliance-in-hypertensive-patients-a7714 |
| work_keys_str_mv | AT krzesinskij practicalissuesinmedicationcomplianceinhypertensivepatients AT leemanm practicalissuesinmedicationcomplianceinhypertensivepatients |