Medication Adherence Its Importance in Cardiovascular Outcomes

被引：1124

作者：

Ho, P. Michael ^{[1
,2
,3
]}

Bryson, Chris L. ^{[4
,5
]}

Rumsfeld, John S. ^{[1
,2
,3
]}

机构：

[1] Denver VA Med Ctr, Denver, CO USA

[2] Univ Colorado, Denver, CO 80202 USA

[3] Kaiser Permanente, Inst Hlth Res, Aurora, CO USA

[4] Puget Sound VA Med Ctr, Seattle, WA USA

[5] Univ Washington, Seattle, WA 98195 USA

来源：

CIRCULATION | 2009年 / 119卷 / 23期

关键词：

cardiovascular diseases; healthcare quality assessment; medication adherence; outcomes research; ACUTE CORONARY SYNDROMES; ACUTE MYOCARDIAL-INFARCTION; EVIDENCE-BASED PHARMACOTHERAPY; RANDOMIZED CONTROLLED-TRIALS; CHRONIC HEART-FAILURE; LONG-TERM MORTALITY; DEPRESSIVE SYMPTOMS; BLOOD-PRESSURE; DRUG-THERAPY; ANTIHYPERTENSIVE MEDICATION;

D O I：

10.1161/CIRCULATIONAHA.108.768986

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Medication adherence usually refers to whether patients take their medications as prescribed (eg, twice daily), as well as whether they continue to take a prescribed medication. Medication nonadherence is a growing concern to clinicians, healthcare systems, and other stakeholders (eg, payers) because of mounting evidence that it is prevalent and associated with adverse outcomes and higher costs of care. To date, measurement of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice. The goals of the present report are to address (1) different methods of measuring adherence, (2) the prevalence of medication nonadherence, (3) the association between nonadherence and outcomes, (4) the reasons for nonadherence, and finally, (5) interventions to improve medication adherence. (Circulation. 2009; 119: 3028-3035.)

引用

页码：3028 / 3035

页数：8

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