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Adherence and persistence with taking medication to control high blood pressure
Martha N Hill1, Nancy Houston Miller, Sabina Degeest
1Johns Hopkins University School of Nursing, Baltimore, MD, USA. mnhill@son.jhmi.edu
Journal of the American Society of Hypertension : JASH
|February 16, 2011
Summary
Improving adherence to antihypertensive medications is crucial for controlling high blood pressure and reducing healthcare costs. Strategies include patient self-management, team-based care, and health policy reform.
Area of Science:
- Cardiovascular Medicine
- Health Services Research
- Public Health
Background:
- Nonadherence to antihypertensive medications leads to uncontrolled high blood pressure, poor health outcomes, and increased healthcare expenses.
- Factors contributing to nonadherence are complex, involving patients, providers, healthcare systems, and community influences.
Purpose of the Study:
- To address the challenge of integrating high blood pressure control into chronic illness management policies.
- To propose actionable strategies for improving medication adherence and persistence in patients with hypertension.
Main Methods:
- Review of multilevel factors associated with medication nonadherence.
- Analysis of national guideline recommendations for improving adherence.
- Proposal of four key strategies for enhancing hypertension management.
Main Results:
- Adherence improvements can be achieved through patient self-management support, team-based care, and technology integration.
- Addressing clinical inertia and improving adherence measurement are essential.
- System-level changes are needed to support better provider-patient communication.
Conclusions:
- A multifaceted approach is required to improve adherence and persistence with antihypertensive medications.
- Empowering patients, developing proactive care teams, and advocating for policy reform are critical.
- Urgent action is needed to address hypertension, a leading reason for healthcare visits.
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