[The Problem of Adherence to Therapy in Cardiology]

E I Kretov1, A R Tarkova1, V D Anisimova1

  • 1National Medical Research Center named after acad. E. N. Meshalkina.

Kardiologiia
|October 9, 2018
PubMed

Insights

Improving patient adherence to drug therapy after hospital discharge is crucial for better treatment outcomes. This review analyzes adherence barriers, impacts, and effective improvement strategies, including economic considerations.

Area of Science:

  • Pharmacology and Therapeutics
  • Health Services Research
  • Patient Outcomes

Background:

  • Patient adherence to prescribed drug therapy following hospital discharge is a significant challenge.
  • Suboptimal adherence can negatively impact both immediate and long-term treatment results.
  • Understanding the multifaceted nature of adherence is vital for effective healthcare management.

Purpose of the Study:

  • To review and synthesize existing research on drug therapy adherence in post-hospital discharge patients.
  • To identify key factors contributing to poor adherence.
  • To evaluate the clinical and economic consequences of adherence and non-adherence.

Main Methods:

  • Systematic literature review of studies focusing on medication adherence post-discharge.
  • Analysis of identified reasons for non-adherence.
  • Assessment of the impact of adherence quality on treatment outcomes.
  • Evaluation of structured methods for improving therapy adherence.
  • Examination of the economic implications of adherence and non-adherence.

Main Results:

  • Multiple factors contribute to poor drug therapy adherence, including patient-related, medication-related, and healthcare system-related issues.
  • Adherence significantly influences the success of both surgical and medical treatments, affecting recovery and long-term health.
  • Various structured interventions demonstrate potential for improving patient adherence.
  • Non-adherence carries substantial economic costs due to treatment failures and prolonged hospitalizations.

Conclusions:

  • Enhancing drug therapy adherence post-discharge requires a comprehensive approach addressing identified barriers.
  • Effective adherence strategies can lead to improved patient outcomes and reduced healthcare expenditures.
  • Further research into tailored interventions and economic evaluations is warranted to optimize patient care.

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