Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study

About 50% of patients do not take their long-term therapy for chronic conditions as prescribed. Many studies have centered on patients' adherence to a specific treatment or single conditions, but few have taken all chronic conditions into consideration from a patient's perspective. This st...

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Autores: Pages-Puigdemont, N, Mangues, MA, Masip, M, Gabriele, G, Fernandez-Maldonado, L, Blancafort, S, Tuneu, L
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Institución:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p7001
Acceso en línea:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=7001
http://ddd.uab.cat/record/185949
Access Level:acceso abierto
Palabra clave:Chronic patients
Medication adherence
Shared decision-making
Therapeutic adherence
Therapeutic alliance
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spelling Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative StudyPages-Puigdemont, NMangues, MAMasip, MGabriele, GFernandez-Maldonado, LBlancafort, STuneu, LChronic patientsMedication adherenceShared decision-makingTherapeutic adherenceTherapeutic allianceAbout 50% of patients do not take their long-term therapy for chronic conditions as prescribed. Many studies have centered on patients' adherence to a specific treatment or single conditions, but few have taken all chronic conditions into consideration from a patient's perspective. This study aims to explore factors that impact on drug compliance and to identify strategies to improve this from the perspective of patients with at least one chronic condition. Patients were recruited by healthcare professionals from a hospital pharmacy, four community pharmacies, patient associations, and a primary care center in Barcelona. Five focus groups were conducted (N = 36). Conversations were audiotaped and transcribed verbatim to allow qualitative analysis. Study subjects were aged 39-90 years (mean 65 years) and the mean number of comorbidities per patient was 2.3 (range 1-7). The main modifiers of therapeutic conduct were: patients' health beliefs, patient-prescriber relationships, and patients' motivation and perception of illness control. Study participants wanted greater participation in decision-making concerning their health and increased education about their illness and medication. They also wanted individualized healthcare that took their preferences and personal and emotional issues into account. Our results highlight how the patient-prescriber's relationship and factors such as health beliefs, motivation and perception of illness control impact on medication adherence in chronic patients. Future interventions to optimize adherence to treatment should focus on shared decision-making and more extensive health education. Celgene Corporation.SPRINGER2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=7001http://ddd.uab.cat/record/185949ADVANCES IN THERAPYISSN: 0741238XISSNe: 18658652reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pauinstname:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)Inglésinfo:eu-repo/semantics/openAccessoai:iibsantpau.fundanetsuite.com:p70012026-06-14T12:41:47Z
dc.title.none.fl_str_mv Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
title Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
spellingShingle Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
Pages-Puigdemont, N
Chronic patients
Medication adherence
Shared decision-making
Therapeutic adherence
Therapeutic alliance
title_short Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
title_full Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
title_fullStr Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
title_full_unstemmed Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
title_sort Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study
dc.creator.none.fl_str_mv Pages-Puigdemont, N
Mangues, MA
Masip, M
Gabriele, G
Fernandez-Maldonado, L
Blancafort, S
Tuneu, L
author Pages-Puigdemont, N
author_facet Pages-Puigdemont, N
Mangues, MA
Masip, M
Gabriele, G
Fernandez-Maldonado, L
Blancafort, S
Tuneu, L
author_role author
author2 Mangues, MA
Masip, M
Gabriele, G
Fernandez-Maldonado, L
Blancafort, S
Tuneu, L
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Chronic patients
Medication adherence
Shared decision-making
Therapeutic adherence
Therapeutic alliance
topic Chronic patients
Medication adherence
Shared decision-making
Therapeutic adherence
Therapeutic alliance
description About 50% of patients do not take their long-term therapy for chronic conditions as prescribed. Many studies have centered on patients' adherence to a specific treatment or single conditions, but few have taken all chronic conditions into consideration from a patient's perspective. This study aims to explore factors that impact on drug compliance and to identify strategies to improve this from the perspective of patients with at least one chronic condition. Patients were recruited by healthcare professionals from a hospital pharmacy, four community pharmacies, patient associations, and a primary care center in Barcelona. Five focus groups were conducted (N = 36). Conversations were audiotaped and transcribed verbatim to allow qualitative analysis. Study subjects were aged 39-90 years (mean 65 years) and the mean number of comorbidities per patient was 2.3 (range 1-7). The main modifiers of therapeutic conduct were: patients' health beliefs, patient-prescriber relationships, and patients' motivation and perception of illness control. Study participants wanted greater participation in decision-making concerning their health and increased education about their illness and medication. They also wanted individualized healthcare that took their preferences and personal and emotional issues into account. Our results highlight how the patient-prescriber's relationship and factors such as health beliefs, motivation and perception of illness control impact on medication adherence in chronic patients. Future interventions to optimize adherence to treatment should focus on shared decision-making and more extensive health education. Celgene Corporation.
publishDate 2016
dc.date.none.fl_str_mv 2016
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http://ddd.uab.cat/record/185949
url https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=7001
http://ddd.uab.cat/record/185949
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER
publisher.none.fl_str_mv SPRINGER
dc.source.none.fl_str_mv ADVANCES IN THERAPY
ISSN: 0741238X
ISSNe: 18658652
reponame:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
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instname_str Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
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