Identifying patient and physician characteristics that affect compliance with antihypertensive medications
Background: Compliance with antihypertensive medications is essential to the clinical management of hypertension. Poor compliance with antihypertensive medications has often been associated with treatment failure and disease progression. Objective: To identify patient and prescriber characteristics...
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| Veröffentlicht in: | Journal of clinical pharmacy and therapeutics 2002-02, Vol.27 (1), p.47-56 |
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| container_title | Journal of clinical pharmacy and therapeutics |
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| creator | Ren, X. S. Kazis, L. E. Lee, A. Zhang, H. Miller, D. R. |
| description | Background: Compliance with antihypertensive medications is essential to the clinical management of hypertension. Poor compliance with antihypertensive medications has often been associated with treatment failure and disease progression.
Objective: To identify patient and prescriber characteristics that may influence compliance with antihypertensive medications.
Method: We used pharmacy records within the Veterans Health Administration, a database which included 1292 patients and 656 physicians over a 2‐year time period from April 1, 1996, to April 1, 1998. The level of compliance with antihypertensive medications was assessed using a measure developed for this purpose within the Administration. Three separate ordinary least squares regression models were conducted to ascertain the effects of patient and physician characteristics on compliance.
Results: Despite the importance of compliance in the clinical management of hypertension, poor compliance with antihypertensive drug treatment was still widespread. Patients who were younger and less active in their treatment decisions tended to be less compliant (P |
| doi_str_mv | 10.1046/j.1365-2710.2002.00387.x |
| format | Article |
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Objective: To identify patient and prescriber characteristics that may influence compliance with antihypertensive medications.
Method: We used pharmacy records within the Veterans Health Administration, a database which included 1292 patients and 656 physicians over a 2‐year time period from April 1, 1996, to April 1, 1998. The level of compliance with antihypertensive medications was assessed using a measure developed for this purpose within the Administration. Three separate ordinary least squares regression models were conducted to ascertain the effects of patient and physician characteristics on compliance.
Results: Despite the importance of compliance in the clinical management of hypertension, poor compliance with antihypertensive drug treatment was still widespread. Patients who were younger and less active in their treatment decisions tended to be less compliant (P < 0·05 and 0·05, respectively). Health care providers who were older, residents in speciality care, and physicians (as compared with non‐physicians) had patients who were also less likely to be compliant (P < 0·01, 0·01, and 0·05, respectively).
Conclusion: These findings suggest that in order to increase the effectiveness of medical care for hypertension, it is important to improve compliance with antihypertensive agents.</description><identifier>ISSN: 0269-4727</identifier><identifier>EISSN: 1365-2710</identifier><identifier>DOI: 10.1046/j.1365-2710.2002.00387.x</identifier><identifier>PMID: 11846861</identifier><identifier>CODEN: JCPTED</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Analysis. Health state ; Antihypertensive agents ; Antihypertensive Agents - therapeutic use ; antihypertensive medications ; Biological and medical sciences ; Cardiovascular system ; compliance ; Decision Making ; Epidemiology ; Female ; General aspects ; Health Care Surveys ; Humans ; hypertension ; Hypertension - drug therapy ; Male ; Medical sciences ; Medicine ; Middle Aged ; patient and physician characteristics ; Patient Compliance ; Patient Education as Topic ; Pharmacology. Drug treatments ; Physician's Role ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Retrospective Studies ; Specialization</subject><ispartof>Journal of clinical pharmacy and therapeutics, 2002-02, Vol.27 (1), p.47-56</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. Feb 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4607-caa891fadd57adc037b7b8e9d15e5540b273817faab49b24a337a7e5ddd25e413</citedby><cites>FETCH-LOGICAL-c4607-caa891fadd57adc037b7b8e9d15e5540b273817faab49b24a337a7e5ddd25e413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2710.2002.00387.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2710.2002.00387.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13677168$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11846861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ren, X. S.</creatorcontrib><creatorcontrib>Kazis, L. E.</creatorcontrib><creatorcontrib>Lee, A.</creatorcontrib><creatorcontrib>Zhang, H.</creatorcontrib><creatorcontrib>Miller, D. R.</creatorcontrib><title>Identifying patient and physician characteristics that affect compliance with antihypertensive medications</title><title>Journal of clinical pharmacy and therapeutics</title><addtitle>J Clin Pharm Ther</addtitle><description>Background: Compliance with antihypertensive medications is essential to the clinical management of hypertension. Poor compliance with antihypertensive medications has often been associated with treatment failure and disease progression.
Objective: To identify patient and prescriber characteristics that may influence compliance with antihypertensive medications.
Method: We used pharmacy records within the Veterans Health Administration, a database which included 1292 patients and 656 physicians over a 2‐year time period from April 1, 1996, to April 1, 1998. The level of compliance with antihypertensive medications was assessed using a measure developed for this purpose within the Administration. Three separate ordinary least squares regression models were conducted to ascertain the effects of patient and physician characteristics on compliance.
Results: Despite the importance of compliance in the clinical management of hypertension, poor compliance with antihypertensive drug treatment was still widespread. Patients who were younger and less active in their treatment decisions tended to be less compliant (P < 0·05 and 0·05, respectively). Health care providers who were older, residents in speciality care, and physicians (as compared with non‐physicians) had patients who were also less likely to be compliant (P < 0·01, 0·01, and 0·05, respectively).
Conclusion: These findings suggest that in order to increase the effectiveness of medical care for hypertension, it is important to improve compliance with antihypertensive agents.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis. Health state</subject><subject>Antihypertensive agents</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>antihypertensive medications</subject><subject>Biological and medical sciences</subject><subject>Cardiovascular system</subject><subject>compliance</subject><subject>Decision Making</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Care Surveys</subject><subject>Humans</subject><subject>hypertension</subject><subject>Hypertension - drug therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>patient and physician characteristics</subject><subject>Patient Compliance</subject><subject>Patient Education as Topic</subject><subject>Pharmacology. Drug treatments</subject><subject>Physician's Role</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Retrospective Studies</subject><subject>Specialization</subject><issn>0269-4727</issn><issn>1365-2710</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1DAURi0EokPhL6AICXYZ_IqdWbCAEdMHFRSpwNK6sR3ikEmC7aGTf1-HGbUSK1Z-nXN99V2EMoKXBHPxtl0SJoqcynRBMaZLjFkpl_tHaHH_8BgtMBWrnEsqT9CzEFqMsZCUPUUnhJRclIIsUHthbB9dPbn-ZzZCdOmUQW-ysZmC0w76TDfgQUfrXYhOhyw2kJC6tjpmetiOXYK0zW5dbJIZXTON1kfbB_fHZltrnE5lhz48R09q6IJ9cVxP0bfNx5v1eX715exi_f4q11xgmWuAckVqMKaQYDRmspJVaVeGFLYoOK6oZCWRNUDFVxXlwJgEaQtjDC0sJ-wUvTnUHf3we2dDVFsXtO066O2wC0qS9A8vZ_DVP2A77HyfelMp1IIQyXmCygOk_RCCt7UavduCnxTBah6GatWcuZoznz2q_g5D7ZP68lh_V6UcHsRj-gl4fQQgaOhqn4J04YFjQkoiysS9O3C3rrPTfzegLtfXN2mX_Pzgpwna_b0P_pcSkslC_fh8pjaXHzbl1-_X6hO7AzjWtsA</recordid><startdate>200202</startdate><enddate>200202</enddate><creator>Ren, X. S.</creator><creator>Kazis, L. E.</creator><creator>Lee, A.</creator><creator>Zhang, H.</creator><creator>Miller, D. R.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>IQODW</scope><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>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>200202</creationdate><title>Identifying patient and physician characteristics that affect compliance with antihypertensive medications</title><author>Ren, X. S. ; Kazis, L. E. ; Lee, A. ; Zhang, H. ; Miller, D. R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4607-caa891fadd57adc037b7b8e9d15e5540b273817faab49b24a337a7e5ddd25e413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis. Health state</topic><topic>Antihypertensive agents</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>antihypertensive medications</topic><topic>Biological and medical sciences</topic><topic>Cardiovascular system</topic><topic>compliance</topic><topic>Decision Making</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Care Surveys</topic><topic>Humans</topic><topic>hypertension</topic><topic>Hypertension - drug therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>patient and physician characteristics</topic><topic>Patient Compliance</topic><topic>Patient Education as Topic</topic><topic>Pharmacology. Drug treatments</topic><topic>Physician's Role</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Retrospective Studies</topic><topic>Specialization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ren, X. S.</creatorcontrib><creatorcontrib>Kazis, L. E.</creatorcontrib><creatorcontrib>Lee, A.</creatorcontrib><creatorcontrib>Zhang, H.</creatorcontrib><creatorcontrib>Miller, D. R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical pharmacy and therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ren, X. S.</au><au>Kazis, L. E.</au><au>Lee, A.</au><au>Zhang, H.</au><au>Miller, D. R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identifying patient and physician characteristics that affect compliance with antihypertensive medications</atitle><jtitle>Journal of clinical pharmacy and therapeutics</jtitle><addtitle>J Clin Pharm Ther</addtitle><date>2002-02</date><risdate>2002</risdate><volume>27</volume><issue>1</issue><spage>47</spage><epage>56</epage><pages>47-56</pages><issn>0269-4727</issn><eissn>1365-2710</eissn><coden>JCPTED</coden><abstract>Background: Compliance with antihypertensive medications is essential to the clinical management of hypertension. Poor compliance with antihypertensive medications has often been associated with treatment failure and disease progression.
Objective: To identify patient and prescriber characteristics that may influence compliance with antihypertensive medications.
Method: We used pharmacy records within the Veterans Health Administration, a database which included 1292 patients and 656 physicians over a 2‐year time period from April 1, 1996, to April 1, 1998. The level of compliance with antihypertensive medications was assessed using a measure developed for this purpose within the Administration. Three separate ordinary least squares regression models were conducted to ascertain the effects of patient and physician characteristics on compliance.
Results: Despite the importance of compliance in the clinical management of hypertension, poor compliance with antihypertensive drug treatment was still widespread. Patients who were younger and less active in their treatment decisions tended to be less compliant (P < 0·05 and 0·05, respectively). Health care providers who were older, residents in speciality care, and physicians (as compared with non‐physicians) had patients who were also less likely to be compliant (P < 0·01, 0·01, and 0·05, respectively).
Conclusion: These findings suggest that in order to increase the effectiveness of medical care for hypertension, it is important to improve compliance with antihypertensive agents.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>11846861</pmid><doi>10.1046/j.1365-2710.2002.00387.x</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Age Factors Aged Aged, 80 and over Analysis. Health state Antihypertensive agents Antihypertensive Agents - therapeutic use antihypertensive medications Biological and medical sciences Cardiovascular system compliance Decision Making Epidemiology Female General aspects Health Care Surveys Humans hypertension Hypertension - drug therapy Male Medical sciences Medicine Middle Aged patient and physician characteristics Patient Compliance Patient Education as Topic Pharmacology. Drug treatments Physician's Role Public health. Hygiene Public health. Hygiene-occupational medicine Retrospective Studies Specialization |
| title | Identifying patient and physician characteristics that affect compliance with antihypertensive medications |
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