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Barriers and facilitators to medication adherence: a qualitative study with general practitioners
Kirsi Kvarnström1, Marja Airaksinen1, Helena Liira2,3
1Clinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland.
BMJ Open
|January 25, 2018
Summary
General practitioners (GPs) face challenges with medication adherence in chronic disease patients. Improving care coordination, patient education, and interprofessional collaboration can enhance adherence.
Area of Science:
- General Practice
- Pharmacology
- Health Services Research
Background:
- General practitioners (GPs) manage medication for chronic diseases, facing significant challenges with patient adherence.
- Poor medication adherence is a persistent issue impacting patient outcomes and healthcare costs.
Purpose of the Study:
- To explore general practitioners' (GPs) perspectives on medication non-adherence in chronic disease management.
- To identify strategies for improving medication adherence from the GPs' viewpoint.
Main Methods:
- Qualitative study involving four focus groups with 16 GPs in Southern Finland.
- Inductive content analysis of verbatim interview transcripts.
Main Results:
- Key themes included non-adherence in chronic disease care and a need for better medicine information.
- Identified challenges spanned patient factors, healthcare systems, drug characteristics, and healthcare professional teamwork.
- GPs suggested improved care coordination, patient education, IT systems, and interprofessional involvement.
Conclusions:
- An aging population increases GPs' encounters with non-adherence in chronic disease management.
- GPs are open to interprofessional care models and value pharmacist support, particularly for patients with polypharmacy.
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