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    Por favor, use este identificador para citar o enlazar este ítem:https://uvadoc.uva.es/handle/10324/57718

    Título
    Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study
    Autor
    Fernández Lázaro, César I.
    García González, Juan Manuel
    Adams, David P.
    Fernández Lázaro, DiegoAutoridad UVA
    Mielgo Ayuso, Juan FranciscoAutoridad UVA Orcid
    Caballero García, AlbertoAutoridad UVA
    Moreno Racionero, Francisca
    Córdova Martínez, AlfredoAutoridad UVA Orcid
    Mirón Canelo, José Antonio
    Año del Documento
    2019
    Editorial
    BioMed Central (BMC)
    Descripción
    Producción Científica
    Documento Fuente
    BMC Family Practice, 2019, Vol. 20, Nº. 132, 12 pp.
    Resumen
    Background: Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. Methods: A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization — social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. Results: The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10-year increment, 95% CI 1.01–1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47– 0.90), having received complete treatment information (3.89, 95% CI 2.09–7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23–7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18–4.02) were independent factors associated with adherence. Conclusions: Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients’ education and their information needs.
    Materias (normalizadas)
    Enfermedad crónica - Prevención y control
    Primary Care Medicine
    Atención primaria de salud
    Educación sanitaria
    Educación para la Salud del Paciente y su Familia
    Materias Unesco
    32 Ciencias Médicas
    Palabras Clave
    Treatment adherence
    ISSN
    2731-4553
    Revisión por pares
    SI
    DOI
    10.1186/s12875-019-1019-3
    Version del Editor
    https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-019-1019-3
    Propietario de los Derechos
    © 2019 The Author(s)
    Idioma
    eng
    URI
    https://uvadoc.uva.es/handle/10324/57718
    Tipo de versión
    info:eu-repo/semantics/publishedVersion
    Derechos
    openAccess
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    • DEP04 - Artículos de revista [57]
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