Journal ArticleDOI
Patient centered primary care is associated with patient hypertension medication adherence
Christianne L. Roumie,Robert A. Greevy,Kenneth A. Wallston,Tom A. Elasy,Lisa A. Kaltenbach,Kristen Kotter,Robert S. Dittus,Theodore Speroff +7 more
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TLDR
Antihypertensive adherence increased as scores in patient centered primary care increased, and improving patient centered care, particularly communication skills, could lead to improvements in health related behaviors such as medication adherence and health outcomes.Abstract:
There is increasing evidence that patient centered care, including communication skills, is an essential component to chronic illness care. Our aim was to evaluate patient centered primary care as a determinant of medication adherence. We mailed 1,341 veterans with hypertension the Short Form Primary Care Assessment Survey (PCAS) which measures elements of patient centered primary care. We prospectively collected each patient’s antihypertensive medication adherence for 6 months. Patients were characterized as adherent if they had medication for >80%. 654 surveys were returned (50.7%); and 499 patients with complete data were analyzed. Antihypertensive adherence increased as scores in patient centered care increased [RR 3.18 (95% CI 1.44, 16.23) bootstrap 5000 resamples] for PCAS score of 4.5 (highest quartile) versus 1.5 (lowest quartile). Future research is needed to determine if improving patient centered care, particularly communication skills, could lead to improvements in health related behaviors such as medication adherence and health outcomes.read more
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Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association.
Robert M. Carey,David A. Calhoun,George L. Bakris,Robert D. Brook,Stacie L. Daugherty,Cheryl Dennison-Himmelfarb,Brent M. Egan,John M. Flack,Samuel S. Gidding,Eric Judd,Daniel T. Lackland,Cheryl L. Laffer,Christopher Newton-Cheh,Steven M. Smith,Sandra J. Taler,Stephen C. Textor,Tanya N. Turan,William B. White +17 more
TL;DR: Management of RH includes maximization of lifestyle interventions, use of long-acting thiazide-like diuretics, addition of a mineralocorticoid receptor antagonist (spironolactone or eplerenone), and, if BP remains elevated, stepwise addition of antihypertensive drugs with complementary mechanisms of action to lower BP.
Journal ArticleDOI
Adherence in Hypertension
Michel Burnier,Brent M. Egan +1 more
TL;DR: In patients at high risk for major adverse cardiovascular outcomes, electronic and biochemical monitoring are useful for detecting nonadherence and for improving adherence, and increasing the availability and affordability of these more precise measures of adherence represent a future opportunity to realize more of the proven benefits of evidence-based medications.
Journal ArticleDOI
Outcomes associated with matching patients' treatment preferences to physicians' recommendations: study methodology
Nasir Umar,David Litaker,David Litaker,Marthe-Lisa Schaarschmidt,Wiebke K. Peitsch,Astrid Schmieder,Darcey D. Terris,Darcey D. Terris +7 more
TL;DR: Methods for capturing concordance between patients' treatment preferences and recommended treatment and for assessing its association with specific treatment outcomes are described to promote the incorporation of patients' preferences in treatment decision-making, enhance treatment satisfaction, and improve treatment effectiveness through greater adherence.
Journal ArticleDOI
Communication and Medication Refill Adherence: The Diabetes Study of Northern California
Neda Ratanawongsa,Andrew J. Karter,Andrew J. Karter,Melissa M. Parker,Courtney R. Lyles,Michele Heisler,Howard H. Moffet,Nancy E. Adler,E. Margaret Warton,Dean Schillinger +9 more
TL;DR: In this article, a cross-sectional analysis of 9377 patients in the Diabetes Study of Northern California (DISTANCE), a race-stratified, random sample of Kaiser Permanente survey respondents was conducted to investigate associations between patient communication ratings and cardiometabolic medication refill adherence.
Journal ArticleDOI
Patient-centred care as an approach to improving health care in Australia
TL;DR: Patient-Centred Care (PCC) as discussed by the authors is a primary approach to health care that emphasises partnerships in health between patients and healthcare professionals, acknowledges patients preferences and values, promotes flexibility in the provision of health care and seeks to move beyond the traditional paternalistic approach.
References
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TL;DR: Strategies to assess and enhance medication adherence (or compliance) are reviewed, to help patients adhere to prescribed treatment regimens and avoid stigmatization.
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TL;DR: Self-management education complements traditional patient education in supporting patients to live the best possible quality of life with their chronic condition, and may soon become an integral part of high-quality primary care.
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Journal ArticleDOI
Organizing care for patients with chronic illness.
TL;DR: The challenge is to organize these components into an integrated system of chronic illness care, which can be done most efficiently and effectively in primary care practice rather than requiring specialized systems of care.