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[Doctor-patient relationship and therapeutic adherence in patients with arterial hypertension]

Alibe Natanai Peña-Valenzuela1, Wilyaham Ruiz-Cervantes1, Casandra Barrios-Olán2

  • 1Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 1, Servicio de Medicina Familiar. Ciudad Obregón, Sonora, México.

Revista Medica Del Instituto Mexicano Del Seguro Social
|December 21, 2022
PubMed

Insights

A strong doctor-patient relationship significantly improves therapeutic adherence in patients with Systemic Arterial Hypertension (SAH). Over half of patients with SAH have a good relationship with their doctor, doubling their likelihood of treatment adherence.

Area of Science:

  • Cardiology
  • Public Health
  • Health Psychology

Context:

  • Systemic Arterial Hypertension (SAH) presents a significant global health challenge, characterized by high morbidity and mortality.
  • Therapeutic non-adherence is a primary barrier to achieving treatment goals in SAH patients.
  • Effective management of SAH relies on understanding factors influencing patient adherence.

Purpose:

  • To investigate the association between the quality of the doctor-patient relationship and therapeutic adherence in individuals diagnosed with Systemic Arterial Hypertension.
  • To quantify the impact of the doctor-patient relationship on adherence to antihypertensive medications.

Summary:

  • An observational, cross-sectional study involving 289 SAH patients in Northwest Mexico assessed therapeutic adherence using the Morisky-Green Test and the doctor-patient relationship via the Patient-Doctor Relationship Questionnaire.
  • Results indicated a 57% prevalence of therapeutic adherence, with 64% of patients reporting a good doctor-patient relationship.
  • A good doctor-patient relationship was found to double the likelihood of adherence to antihypertensive treatment (OR 1.92, 95% CI: 1.54-2.39, p=0.000).

Impact:

  • The findings underscore the critical role of the doctor-patient relationship in enhancing therapeutic adherence for SAH management.
  • Interventions aimed at improving doctor-patient communication and trust may be effective strategies to combat non-adherence in SAH.
  • This research highlights a modifiable factor that can significantly improve health outcomes for a large patient population suffering from hypertension.
Abstract

Keywords:
HypertensionPhysician Patient RelationTherapeutic Adherence

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