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Therapeutic adherence in hypertension: Current evidence and expert opinion from India

Jamshed J Dalal1, Prafulla Kerkar2, Santanu Guha3

  • 1Centre for Cardiac Sciences, Kokilaben Dhirubhai Ambani Hospital, Mumbai, India.

Indian Heart Journal
|December 4, 2021
PubMed

Insights

Improving hypertension (HTN) treatment adherence in India requires addressing socioeconomic factors, health literacy, and patient-physician communication. A multipronged approach involving patients, physicians, and health systems is crucial for better cardiovascular outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Hypertension (HTN) is a major global non-communicable disease linked to significant cardiovascular (CV) morbidity and mortality.
  • Therapeutic adherence is critical for effective HTN management and CV outcome improvement.
  • Adherence rates to antihypertensive medications in India vary widely, influenced by numerous patient- and system-level factors.

Purpose of the Study:

  • To identify key determinants of antihypertensive treatment adherence in the Indian context.
  • To explore strategies for improving therapeutic adherence in patients with hypertension.
  • To emphasize the role of patient education, physician-patient communication, and healthcare accessibility in managing HTN.

Main Methods:

  • Review of studies focusing on adherence to antihypertensive medications in India.
  • Analysis of factors influencing treatment adherence, including socioeconomic status, health literacy, and disease characteristics.
  • Exploration of multifaceted strategies for enhancing adherence.

Main Results:

  • Adherence is influenced by socioeconomic status, health literacy, disease duration, forgetfulness, and medication costs.
  • An effective physician-patient relationship and counseling are vital for identifying and addressing poor adherence.
  • A multipronged approach targeting physicians, patients, and health systems is necessary for improvement.

Conclusions:

  • Improving HTN therapeutic adherence in India necessitates enhanced patient education, stronger physician-patient communication, increased healthcare access, and affordability.
  • The pharmaceutical sector can contribute through therapeutic innovations.
  • Increased adherence to lifestyle interventions is also key for better HTN control and CV outcomes.

Keywords:
AdherenceAntihypertensives medicationsBlood pressureCardiovascular diseaseHypertension

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