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Published on: November 8, 2013
Adherence to COPD treatment: Myth and reality
Paola Rogliani1, Josuel Ora2, Ermanno Puxeddu1
1Chair of Respiratory Medicine, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy; Division of Respiratory Medicine, Department of Internal Medicine, University Hospital Tor Vergata, Rome, Italy.
Medication adherence in Chronic Obstructive Pulmonary Disease (COPD) is low, negatively impacting outcomes. Addressing multifactorial influences through improved patient-provider communication is key, acknowledging non-adherence is probable.
Area of Science:
- Pulmonary Medicine
- Pharmacology
- Health Psychology
Background:
- Chronic Obstructive Pulmonary Disease (COPD) management necessitates long-term pharmacotherapy adherence.
- Low medication adherence in COPD significantly worsens patient outcomes.
- Current methods for detecting non-adherence have notable limitations.
Purpose of the Study:
- To explore the multifactorial nature of medication adherence in COPD.
- To highlight the role of patient-provider communication in optimizing adherence.
- To underscore the likelihood of non-adherence in COPD management.
Main Methods:
- Review of factors influencing medication adherence in COPD.
- Analysis of patient-related determinants (health beliefs, self-efficacy, comorbidities).
- Examination of physician-related factors (dosing, polypharmacy, side effects).
- Consideration of societal influences (support, access, training).
Main Results:
- Medication adherence in COPD is influenced by a complex interplay of patient, physician, and societal factors.
- Effective patient-physician and patient-pharmacist communication is crucial for adherence.
- Limitations exist in current methods for detecting non-adherence.
Conclusions:
- Optimizing COPD management requires acknowledging and addressing the multifactorial nature of medication adherence.
- Enhanced communication strategies between patients and healthcare professionals are vital.
- A realistic approach accepts that non-adherence is a probable challenge in COPD care.
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