Patients' problems with new medication for chronic conditions

被引:175
作者
Barber, N
Parsons, J
Clifford, S
Darracott, R
Horne, R
机构
[1] Univ London, Sch Pharm, Dept Practice & Policy, London WC1N 1AX, England
[2] Moss Pharm, Feltham, Middx, England
[3] Univ Brighton, Brighton BN2 4AT, E Sussex, England
来源
QUALITY & SAFETY IN HEALTH CARE | 2004年 / 13卷 / 03期
关键词
D O I
10.1136/qshc.2003.005926
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives: To assess patients' adherence to new medication for a chronic condition (and whether non-adherence was intentional), patients' problems with their medication, and their further information needs. Methods: A longitudinal survey with data collection at 10 days and 4 weeks was performed on 258 patients recruited from 23 community pharmacies in south east England. Patients were eligible to participate if they were starting a new chronic medication and were either 75 years or older or had one of the following chronic conditions: stroke, coronary heart disease, asthma, diabetes, and rheumatoid arthritis. At each time point a semi-structured telephone interview was conducted and a postal questionnaire was sent. Main outcome measures: Self-reported adherence, causes of non-adherence, problems with medication, information needs. Results: Sixty seven (30%) of 226 patients still taking their medication at 10 days and 43 of 171 (25%) still taking their medication at 4 weeks were non-adherent. At 10 days 55% of the non-adherence was unintentional and the remainder was intentional; these proportions were similar at 4 weeks. 138 of 208 (66%) participants still taking their new medication at 10 days reported at least one problem with it. 137 of 226 patients (61%) expressed a substantial and sustained need for further information at 10 days and 88 of 171 (51%) at 4 weeks. Several patients who were adherent or reported no problems at 10 days were non-adherent or had problems at 4 weeks. Conclusions: A significant proportion of patients newly started on a chronic medication quickly become non-adherent, often intentionally so. Many have problems with their medication and information needs. Patients need more support when starting on new medication for a chronic condition and new services may be required to provide this.
引用
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页码:172 / 175
页数:4
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