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Patients' Perspectives on Plans Generated During Primary Care Visits and Self-Reported Adherence at 3 Months: Data
Cheryl D Stults1, Kathleen M Mazor2, Michael Cheung3
1Palo Alto Medical Foundation Research Institute, Center for Health Systems Research, Sutter Health, Palo Alto, CA, United States.
Journal of Participatory Medicine
|March 14, 2024
Summary
Patient agreement and understanding of primary care plans strongly predict adherence. Clear, agreeable plans and patient determination facilitate follow-through, while time constraints and external factors hinder it.
Area of Science:
- Primary Care Research
- Health Services Research
- Patient Adherence Studies
Background:
- Effective primary care requires patients to implement actions post-visit.
- Patient adherence to recommended care plans often needs improvement.
Purpose of the Study:
- To investigate patients' perspectives on primary care visits and generated care plans.
- To assess self-reported patient adherence to care plans after a 3-month period.
Main Methods:
- A secondary analysis of a multisite cluster randomized trial involving 2555 patients.
- Patients completed surveys within 7 days post-visit and again at 3 months.
- Statistical analyses included cross-tabulation, chi-square tests, and multivariable logistic regression; qualitative content analysis was also performed.
Main Results:
- A high percentage of patients reported clear plans (78%), agreement (80%), and intent to follow (83%).
- Strong agreement, clarity, and intention to follow plans correlated with higher self-reported completion rates (P<.001).
- Reasons for adherence included plan clarity and personal determination; barriers included lack of time and external factors like the COVID-19 pandemic.
Conclusions:
- Patients' initial perception of care plans as clear, agreeable, and their willingness to follow them are key predictors of adherence.
- Plans involving lifestyle changes were associated with lower self-reported complete adherence.
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