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Medication adherence in hypertension.

Neil R Poulter1, Claudio Borghi2, Gianfranco Parati3,4

  • 1Imperial Clinical Trials Unit, School of Public Health, Imperial College London, London, UK.

Journal of Hypertension
|December 14, 2019
PubMed
Summary
This summary is machine-generated.

Improving adherence to antihypertensive medication is crucial for blood pressure control. Strategies like simplified regimens, team-based care, and digital tools can enhance patient adherence and cardiovascular outcomes.

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Area of Science:

  • Cardiology
  • Pharmacology
  • Health Services Research

Background:

  • Suboptimal adherence to antihypertensive medication significantly impairs blood pressure control.
  • Accurate assessment of adherence is challenging due to the lack of a universally accepted gold-standard method.
  • Adherence is a multifaceted issue influenced by patient, provider, and healthcare system factors.

Purpose of the Study:

  • To review current methods for measuring medication adherence.
  • To discuss barriers to adherence and potential interventions.
  • To highlight the importance of the patient-practitioner relationship in managing adherence.

Main Methods:

  • Review of existing literature on adherence measurement and interventions.
  • Discussion of clinical perspectives on adherence assessment.
  • Exploration of novel approaches to improve adherence.

Main Results:

  • No single method reliably measures all aspects of adherence.
  • Patient-practitioner communication is vital for identifying adherence issues.
  • Simplified medication regimens and team-based care show promise.

Conclusions:

  • Improving adherence requires a comprehensive approach addressing systemic and individual barriers.
  • Patient-practitioner relationship, simplified regimens, team-based care, and digital tools can enhance adherence.
  • Enhanced adherence positively impacts cardiovascular outcomes and reduces healthcare costs.