Primary non-adherence in Portugal: findings and implications
Background Portugal is currently facing a serious economic and financial crisis, which is dictating some important changes in the health care sector. Some of these measures may potentially influence patients’ access to medication and consequently adherence, which will ultimately impact on health sta...
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| Veröffentlicht in: | International journal of clinical pharmacy 2015-08, Vol.37 (4), p.626-635 |
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| creator | da Costa, Filipa Alves Pedro, Ana Rita Teixeira, Inês Bragança, Fátima da Silva, José Aranda Cabrita, José |
| description | Background
Portugal is currently facing a serious economic and financial crisis, which is dictating some important changes in the health care sector. Some of these measures may potentially influence patients’ access to medication and consequently adherence, which will ultimately impact on health status, especially in chronic patients.
Aims
This study aimed at providing a snapshot of adherence in patients with chronic conditions in Portugal between March and April 2012.
Setting
Community pharmacy in Portugal.
Method
A cross-sectional pilot study was undertaken, where patients were recruited via community pharmacies to a questionnaire study evaluating the number of prescribed and purchased drugs and, when these figures were inconsistent, the reasons for this.
Main outcome measures
Primary and secondary adherence measures. Failing to purchase prescription items was categorized as primary nonadherence. Secondary nonadherence was attributed to purchasing prescription items, but not taking medicines as prescribed.
Results
Data were collected from 375 patients. Primary nonadherence was identified in 22.8 % of patients. Regardless of the underlying condition, the most commonly reported reason for primary non-adherence was having spare medicines at home (“leftovers”), followed by financial problems. The latter appeared to be related to the class of medicines prescribed. Primary non-adherence was associated with low income ( |
| doi_str_mv | 10.1007/s11096-015-0108-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1694962708</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3735983781</sourcerecordid><originalsourceid>FETCH-LOGICAL-c513t-ea7b6f787b36471603f244182efe32a2b3b7cef6cadf93a138ec02242e26df153</originalsourceid><addsrcrecordid>eNp1kM9LwzAUx4Mobsz9AV6k4MVLNS9pkla8yPAXDNxBzyFtk5nRpjNpD_73ZlaHCAYeCbzP-77wQegU8CVgLK4CAC54ioHFwnkKB2hKCOBUCIDD_RvTCZqHsMHxZJwAy47RhLCcEi7YFN2svG2V_0hc51JVv2mvXaUT65JV5_thrZrrxFhXW7cOiXJ1YtttYyvV286FE3RkVBP0_Pueodf7u5fFY7p8fnha3C7TigHtU61EyY3IRUl5JoBjakiWQU600ZQoUtJSVNrwStWmoAporitMSEY04bUBRmfoYszd-u590KGXrQ2VbhrldDcECbzICk4EziN6_gfddIN38XdfFMOFYDxSMFKV70Lw2sjtqEEClju7crQro125syshzpx9Jw9lq-v9xI_LCJARCLHl1tr_Wv1v6icknILR</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1694509756</pqid></control><display><type>article</type><title>Primary non-adherence in Portugal: findings and implications</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>da Costa, Filipa Alves ; Pedro, Ana Rita ; Teixeira, Inês ; Bragança, Fátima ; da Silva, José Aranda ; Cabrita, José</creator><creatorcontrib>da Costa, Filipa Alves ; Pedro, Ana Rita ; Teixeira, Inês ; Bragança, Fátima ; da Silva, José Aranda ; Cabrita, José</creatorcontrib><description>Background
Portugal is currently facing a serious economic and financial crisis, which is dictating some important changes in the health care sector. Some of these measures may potentially influence patients’ access to medication and consequently adherence, which will ultimately impact on health status, especially in chronic patients.
Aims
This study aimed at providing a snapshot of adherence in patients with chronic conditions in Portugal between March and April 2012.
Setting
Community pharmacy in Portugal.
Method
A cross-sectional pilot study was undertaken, where patients were recruited via community pharmacies to a questionnaire study evaluating the number of prescribed and purchased drugs and, when these figures were inconsistent, the reasons for this.
Main outcome measures
Primary and secondary adherence measures. Failing to purchase prescription items was categorized as primary nonadherence. Secondary nonadherence was attributed to purchasing prescription items, but not taking medicines as prescribed.
Results
Data were collected from 375 patients. Primary nonadherence was identified in 22.8 % of patients. Regardless of the underlying condition, the most commonly reported reason for primary non-adherence was having spare medicines at home (“leftovers”), followed by financial problems. The latter appeared to be related to the class of medicines prescribed. Primary non-adherence was associated with low income (<475 €/month;
p
= 0.026). Secondary non-adherence, assessed by the 7-MMAS was detected in over 50 % of all patients, where unintentional nonadherence was higher than intentional nonadherence across all disease conditions.
Conclusion
This study revealed that more than one fifth of chronic medication users report primary nonadherence (22.8 %) and more than 50 % report secondary nonadherence. Data indicates that the existence of spare medicines and financial constraints occurred were the two most frequent reasons cited for nonadherence (47, 6–64, 8 and 19–45.5 %, depending on the major underlying condition, respectively).</description><identifier>ISSN: 2210-7703</identifier><identifier>EISSN: 2210-7711</identifier><identifier>DOI: 10.1007/s11096-015-0108-1</identifier><identifier>PMID: 25832675</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Chronic Disease - drug therapy ; Chronic illnesses ; Cross-Sectional Studies ; Diabetes Mellitus - drug therapy ; Drug therapy ; Female ; Humans ; Hyperlipidemias - drug therapy ; Hypertension - drug therapy ; Internal Medicine ; Male ; Medication Adherence - statistics & numerical data ; Medicine ; Medicine & Public Health ; Middle Aged ; Noncompliance ; Pharmacies - statistics & numerical data ; Pharmacy ; Pilot Projects ; Portugal - epidemiology ; Research Article ; Surveys and Questionnaires ; Young Adult</subject><ispartof>International journal of clinical pharmacy, 2015-08, Vol.37 (4), p.626-635</ispartof><rights>Koninklijke Nederlandse Maatschappij ter bevordering der Pharmacie 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-ea7b6f787b36471603f244182efe32a2b3b7cef6cadf93a138ec02242e26df153</citedby><cites>FETCH-LOGICAL-c513t-ea7b6f787b36471603f244182efe32a2b3b7cef6cadf93a138ec02242e26df153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11096-015-0108-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11096-015-0108-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25832675$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>da Costa, Filipa Alves</creatorcontrib><creatorcontrib>Pedro, Ana Rita</creatorcontrib><creatorcontrib>Teixeira, Inês</creatorcontrib><creatorcontrib>Bragança, Fátima</creatorcontrib><creatorcontrib>da Silva, José Aranda</creatorcontrib><creatorcontrib>Cabrita, José</creatorcontrib><title>Primary non-adherence in Portugal: findings and implications</title><title>International journal of clinical pharmacy</title><addtitle>Int J Clin Pharm</addtitle><addtitle>Int J Clin Pharm</addtitle><description>Background
Portugal is currently facing a serious economic and financial crisis, which is dictating some important changes in the health care sector. Some of these measures may potentially influence patients’ access to medication and consequently adherence, which will ultimately impact on health status, especially in chronic patients.
Aims
This study aimed at providing a snapshot of adherence in patients with chronic conditions in Portugal between March and April 2012.
Setting
Community pharmacy in Portugal.
Method
A cross-sectional pilot study was undertaken, where patients were recruited via community pharmacies to a questionnaire study evaluating the number of prescribed and purchased drugs and, when these figures were inconsistent, the reasons for this.
Main outcome measures
Primary and secondary adherence measures. Failing to purchase prescription items was categorized as primary nonadherence. Secondary nonadherence was attributed to purchasing prescription items, but not taking medicines as prescribed.
Results
Data were collected from 375 patients. Primary nonadherence was identified in 22.8 % of patients. Regardless of the underlying condition, the most commonly reported reason for primary non-adherence was having spare medicines at home (“leftovers”), followed by financial problems. The latter appeared to be related to the class of medicines prescribed. Primary non-adherence was associated with low income (<475 €/month;
p
= 0.026). Secondary non-adherence, assessed by the 7-MMAS was detected in over 50 % of all patients, where unintentional nonadherence was higher than intentional nonadherence across all disease conditions.
Conclusion
This study revealed that more than one fifth of chronic medication users report primary nonadherence (22.8 %) and more than 50 % report secondary nonadherence. Data indicates that the existence of spare medicines and financial constraints occurred were the two most frequent reasons cited for nonadherence (47, 6–64, 8 and 19–45.5 %, depending on the major underlying condition, respectively).</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic Disease - drug therapy</subject><subject>Chronic illnesses</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus - drug therapy</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperlipidemias - drug therapy</subject><subject>Hypertension - drug therapy</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medication Adherence - statistics & numerical data</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Noncompliance</subject><subject>Pharmacies - statistics & numerical data</subject><subject>Pharmacy</subject><subject>Pilot Projects</subject><subject>Portugal - epidemiology</subject><subject>Research Article</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>2210-7703</issn><issn>2210-7711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kM9LwzAUx4Mobsz9AV6k4MVLNS9pkla8yPAXDNxBzyFtk5nRpjNpD_73ZlaHCAYeCbzP-77wQegU8CVgLK4CAC54ioHFwnkKB2hKCOBUCIDD_RvTCZqHsMHxZJwAy47RhLCcEi7YFN2svG2V_0hc51JVv2mvXaUT65JV5_thrZrrxFhXW7cOiXJ1YtttYyvV286FE3RkVBP0_Pueodf7u5fFY7p8fnha3C7TigHtU61EyY3IRUl5JoBjakiWQU600ZQoUtJSVNrwStWmoAporitMSEY04bUBRmfoYszd-u590KGXrQ2VbhrldDcECbzICk4EziN6_gfddIN38XdfFMOFYDxSMFKV70Lw2sjtqEEClju7crQro125syshzpx9Jw9lq-v9xI_LCJARCLHl1tr_Wv1v6icknILR</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>da Costa, Filipa Alves</creator><creator>Pedro, Ana Rita</creator><creator>Teixeira, Inês</creator><creator>Bragança, Fátima</creator><creator>da Silva, José Aranda</creator><creator>Cabrita, José</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150801</creationdate><title>Primary non-adherence in Portugal: findings and implications</title><author>da Costa, Filipa Alves ; Pedro, Ana Rita ; Teixeira, Inês ; Bragança, Fátima ; da Silva, José Aranda ; Cabrita, José</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-ea7b6f787b36471603f244182efe32a2b3b7cef6cadf93a138ec02242e26df153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chronic Disease - drug therapy</topic><topic>Chronic illnesses</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus - drug therapy</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperlipidemias - drug therapy</topic><topic>Hypertension - drug therapy</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medication Adherence - statistics & numerical data</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Noncompliance</topic><topic>Pharmacies - statistics & numerical data</topic><topic>Pharmacy</topic><topic>Pilot Projects</topic><topic>Portugal - epidemiology</topic><topic>Research Article</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>da Costa, Filipa Alves</creatorcontrib><creatorcontrib>Pedro, Ana Rita</creatorcontrib><creatorcontrib>Teixeira, Inês</creatorcontrib><creatorcontrib>Bragança, Fátima</creatorcontrib><creatorcontrib>da Silva, José Aranda</creatorcontrib><creatorcontrib>Cabrita, José</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical pharmacy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>da Costa, Filipa Alves</au><au>Pedro, Ana Rita</au><au>Teixeira, Inês</au><au>Bragança, Fátima</au><au>da Silva, José Aranda</au><au>Cabrita, José</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary non-adherence in Portugal: findings and implications</atitle><jtitle>International journal of clinical pharmacy</jtitle><stitle>Int J Clin Pharm</stitle><addtitle>Int J Clin Pharm</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>37</volume><issue>4</issue><spage>626</spage><epage>635</epage><pages>626-635</pages><issn>2210-7703</issn><eissn>2210-7711</eissn><abstract>Background
Portugal is currently facing a serious economic and financial crisis, which is dictating some important changes in the health care sector. Some of these measures may potentially influence patients’ access to medication and consequently adherence, which will ultimately impact on health status, especially in chronic patients.
Aims
This study aimed at providing a snapshot of adherence in patients with chronic conditions in Portugal between March and April 2012.
Setting
Community pharmacy in Portugal.
Method
A cross-sectional pilot study was undertaken, where patients were recruited via community pharmacies to a questionnaire study evaluating the number of prescribed and purchased drugs and, when these figures were inconsistent, the reasons for this.
Main outcome measures
Primary and secondary adherence measures. Failing to purchase prescription items was categorized as primary nonadherence. Secondary nonadherence was attributed to purchasing prescription items, but not taking medicines as prescribed.
Results
Data were collected from 375 patients. Primary nonadherence was identified in 22.8 % of patients. Regardless of the underlying condition, the most commonly reported reason for primary non-adherence was having spare medicines at home (“leftovers”), followed by financial problems. The latter appeared to be related to the class of medicines prescribed. Primary non-adherence was associated with low income (<475 €/month;
p
= 0.026). Secondary non-adherence, assessed by the 7-MMAS was detected in over 50 % of all patients, where unintentional nonadherence was higher than intentional nonadherence across all disease conditions.
Conclusion
This study revealed that more than one fifth of chronic medication users report primary nonadherence (22.8 %) and more than 50 % report secondary nonadherence. Data indicates that the existence of spare medicines and financial constraints occurred were the two most frequent reasons cited for nonadherence (47, 6–64, 8 and 19–45.5 %, depending on the major underlying condition, respectively).</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>25832675</pmid><doi>10.1007/s11096-015-0108-1</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2210-7703 |
| ispartof | International journal of clinical pharmacy, 2015-08, Vol.37 (4), p.626-635 |
| issn | 2210-7703 2210-7711 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aged Aged, 80 and over Chronic Disease - drug therapy Chronic illnesses Cross-Sectional Studies Diabetes Mellitus - drug therapy Drug therapy Female Humans Hyperlipidemias - drug therapy Hypertension - drug therapy Internal Medicine Male Medication Adherence - statistics & numerical data Medicine Medicine & Public Health Middle Aged Noncompliance Pharmacies - statistics & numerical data Pharmacy Pilot Projects Portugal - epidemiology Research Article Surveys and Questionnaires Young Adult |
| title | Primary non-adherence in Portugal: findings and implications |
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