RT info:eu-repo/semantics/article
T1 Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study
A1 Fernández Lázaro, César I.
A1 García González, Juan Manuel
A1 Adams, David P.
A1 Fernández Lázaro, Diego
A1 Mielgo Ayuso, Juan Francisco
A1 Caballero García, Alberto
A1 Moreno Racionero, Francisca
A1 Córdova Martínez, Alfredo
A1 Mirón Canelo, José Antonio
K1 Enfermedad crónica - Prevención y control
K1 Primary Care Medicine
K1 Atención primaria de salud
K1 Educación sanitaria
K1 Educación para la Salud del Paciente y su Familia
K1 Treatment adherence
K1 32 Ciencias Médicas
AB 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.
PB BioMed Central (BMC)
SN 2731-4553
YR 2019
FD 2019
LK https://uvadoc.uva.es/handle/10324/57718
UL https://uvadoc.uva.es/handle/10324/57718
LA eng
NO BMC Family Practice, 2019,  Vol. 20, Nº. 132, 12 pp.
NO Producción Científica
DS UVaDOC
RD 23-nov-2024