Please use this identifier to cite or link to this item:
https://doi.org/ 10.3390/healthcare9081085
Title: | Adherence Level to Arterial Hypertension Treatment: A Cross-Sectional Patient Survey and Retrospective Analysis of the NHS Prescription Database |
Authors: | Gavrilova, Anna Bandere, Dace Logviss, Konstantīns Šmits, Dins Urtāne, Inga Department of Pharmaceutical Chemistry Red Cross Medical College of Rīga Stradiņš University Department of Applied Pharmacy Department of Public Health and Epidemiology |
Keywords: | adherence barriers;blood pressure control;e-health system;electronic prescriptions;intentional non-adherent;Latvia;;medicines;;Morisky Widget (MMAS-8);patient attitudes;pharmaceutical care;3.3 Health sciences;3.1 Basic medicine;1.1. Scientific article indexed in Web of Science and/or Scopus database;SDG 3 - Good Health and Well-being |
Issue Date: | 23-Aug-2021 |
Citation: | Gavrilova , A , Bandere , D , Logviss , K , Šmits , D & Urtāne , I 2021 , ' Adherence Level to Arterial Hypertension Treatment: A Cross-Sectional Patient Survey and Retrospective Analysis of the NHS Prescription Database ' , Healthcare , vol. 9 , no. 8 , 1085 . https://doi.org/ 10.3390/healthcare9081085 |
Abstract: | One of the major problems in cardiology practice is poor adherence to antihypertensive medication. This study aimed to evaluate medication adherence; we also aim to investigate the predictors of intentional and unintentional non-adherence. We issued a survey containing questions about patient demographics, blood pressure control, pharmaceutical care, and adherence level to medication. Retrospective analysis of the prescription database of the National Health Service of the Republic of Latvia was performed. The prevalence of non-adherence was 45.9%. The lowest adherence rate (38.2%) was found among patients taking medication for 2–4.9 years. Even though 84.7% of respondents had a blood pressure monitor at home, only 25.3% of them reported measuring blood pressure regularly. There were differences between the groups of adherent patients in terms of the patients’ net income (p = 0.004), medication co-payments (p = 0.007), and whether the pharmacist offered to reduce the costs of drug therapy (p = 0.002). Roughly half of the prescriptions (50.4%) containing perindopril were purchased by patients from pharmacies. The medication adherence level and blood pressure control at home were assessed as low. Intentionally non-adherent respondents discontinued their medication because of fear of getting used to medicines. The pharmacists’ behaviour in terms of offering to reduce the costs of medications used was influenced by socio-economic factors. |
Description: | Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. |
DOI: | https://doi.org/ 10.3390/healthcare9081085 |
ISSN: | 2213-0764 |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
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Adherence_Level_to_Arterial_Hypertension_Treatment.pdf | 839.06 kB | Adobe PDF | View/Open |
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