Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinics
Abstract Background Hypertensive patients’ compliance to the clinic’s follow-up visits is associated with a better blood pressure control. The aim of this study was to detect the reasons of non-compliance to office visits in Egyptian hypertensive patients. Results This is an observational, prospecti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-05-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43044-022-00285-7 |
| _version_ | 1818553406353047552 |
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| author | Ghada Youssef Marwa Mohamed Magdy Abdel Hamid Dalia El Remisy |
| author_facet | Ghada Youssef Marwa Mohamed Magdy Abdel Hamid Dalia El Remisy |
| author_sort | Ghada Youssef |
| collection | DOAJ |
| description | Abstract Background Hypertensive patients’ compliance to the clinic’s follow-up visits is associated with a better blood pressure control. The aim of this study was to detect the reasons of non-compliance to office visits in Egyptian hypertensive patients. Results This is an observational, prospective, cross-sectional research study where patients were enrolled from the registry of the specialized hypertension clinics of 9 university hospitals. Those who attended less than 3 office visits, throughout the registry period, were considered non-compliant and were contacted through the phone. A simple questionnaire was prepared, which included questions about the reasons of non-compliance to follow up. There were 3014 patients eligible for inclusion in this study but only 649 patients (21.5%) completed the questionnaire. Patients claimed that the reasons of non-compliance to the follow up visits in the specialized hypertension clinics were as follows: 444 patients (68.4%) preferred to follow up elsewhere mostly in pharmacies, 53 patients (8.2%) claimed that the healthcare service was unsatisfactory, 94 patients (14.5%) were asymptomatic, and 110 patients (16.9%) said that the clinic was far from their homes. Despite non-compliance to office visits, 366 patients (59.2%) were compliant to their antihypertensive medications and 312 (48.1%) patients were compliant to salt restriction. About 34% of patients used herbs, mainly hibiscus, as adjuvant to their antihypertensive medications. Conclusions Reasons for non-compliance to office visits in hypertensive patients were either patient-related, or healthcare-related. To improve patients’ compliance, physicians need to educate their patients about hypertension, patients need to follow their doctors’ instructions as regard medications, salt restriction and scheduled office visits, and governments need to provide better and cheaper healthcare services. |
| first_indexed | 2024-12-12T09:25:25Z |
| format | Article |
| id | doaj.art-fdb6efc5e09445d4a7525ab1b4aff54d |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-12-12T09:25:25Z |
| publishDate | 2022-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-fdb6efc5e09445d4a7525ab1b4aff54d2022-12-22T00:29:03ZengSpringerOpenThe Egyptian Heart Journal2090-911X2022-05-017411910.1186/s43044-022-00285-7Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinicsGhada Youssef0Marwa Mohamed1Magdy Abdel Hamid2Dalia El Remisy3Cardiovascular Department, Kasr Al Ainy School of Medicine, Cairo UniversityNational Heart InstituteCardiovascular Department, Kasr Al Ainy School of Medicine, Cairo UniversityCardiovascular Department, Kasr Al Ainy School of Medicine, Cairo UniversityAbstract Background Hypertensive patients’ compliance to the clinic’s follow-up visits is associated with a better blood pressure control. The aim of this study was to detect the reasons of non-compliance to office visits in Egyptian hypertensive patients. Results This is an observational, prospective, cross-sectional research study where patients were enrolled from the registry of the specialized hypertension clinics of 9 university hospitals. Those who attended less than 3 office visits, throughout the registry period, were considered non-compliant and were contacted through the phone. A simple questionnaire was prepared, which included questions about the reasons of non-compliance to follow up. There were 3014 patients eligible for inclusion in this study but only 649 patients (21.5%) completed the questionnaire. Patients claimed that the reasons of non-compliance to the follow up visits in the specialized hypertension clinics were as follows: 444 patients (68.4%) preferred to follow up elsewhere mostly in pharmacies, 53 patients (8.2%) claimed that the healthcare service was unsatisfactory, 94 patients (14.5%) were asymptomatic, and 110 patients (16.9%) said that the clinic was far from their homes. Despite non-compliance to office visits, 366 patients (59.2%) were compliant to their antihypertensive medications and 312 (48.1%) patients were compliant to salt restriction. About 34% of patients used herbs, mainly hibiscus, as adjuvant to their antihypertensive medications. Conclusions Reasons for non-compliance to office visits in hypertensive patients were either patient-related, or healthcare-related. To improve patients’ compliance, physicians need to educate their patients about hypertension, patients need to follow their doctors’ instructions as regard medications, salt restriction and scheduled office visits, and governments need to provide better and cheaper healthcare services.https://doi.org/10.1186/s43044-022-00285-7HypertensionComplianceOffice visits |
| spellingShingle | Ghada Youssef Marwa Mohamed Magdy Abdel Hamid Dalia El Remisy Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinics The Egyptian Heart Journal Hypertension Compliance Office visits |
| title | Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinics |
| title_full | Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinics |
| title_fullStr | Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinics |
| title_full_unstemmed | Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinics |
| title_short | Reasons behind high rate of non-compliance to scheduled office visits in hypertensive patients: results from the Egyptian registry of specialized hypertension clinics |
| title_sort | reasons behind high rate of non compliance to scheduled office visits in hypertensive patients results from the egyptian registry of specialized hypertension clinics |
| topic | Hypertension Compliance Office visits |
| url | https://doi.org/10.1186/s43044-022-00285-7 |
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