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Predictors of medication adherence in the elderly

R Balkrishnan1

  • 1Division of Health Policy and Administration, University of North Carolina at Chapel Hill, 27899-7360, USA.

Clinical Therapeutics
|September 16, 1998
PubMed
Summary

Medication noncompliance in elderly patients presents significant health and economic challenges. Factors like race, drug type, cost, and communication influence adherence, though age and socioeconomic status show inconsistent links.

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Area of Science:

  • Geriatric Medicine
  • Health Services Research
  • Pharmacology

Background:

  • Increasing life expectancy leads to more chronic diseases and long-term medication use in the elderly.
  • Elderly patients' noncompliance with medication regimens has substantial medical and economic implications.
  • Understanding medication adherence is crucial for designing effective disease management programs for older adults.

Purpose of the Study:

  • To identify predictors of medication compliance in elderly patients through a review of existing literature.
  • To analyze the established and uncertain factors influencing medication adherence in the geriatric population.

Main Methods:

  • Conducted a MEDLINE search of English-language literature from 1962 to 1997.
  • Focused on articles addressing predictors of medication compliance specifically in elderly patients.
  • Performed a descriptive analysis of the identified literature.

Main Results:

  • Established associations between medication adherence and race, drug/dosage form, number of medications, cost, insurance, and physician-patient communication.
  • Inconsistent findings were noted regarding the impact of patient age, sex, socioeconomic status, living arrangements, comorbidities, physician visit frequency, and health beliefs.
  • Uncertainty persists regarding the precise reasons for noncompliant medication-taking among the elderly.

Conclusions:

  • While some factors clearly predict medication adherence in the elderly, others require further comprehensive study.
  • Current knowledge on adherence predictors should inform the design and implementation of geriatric disease management programs.
  • Addressing identified adherence factors is essential for improving health outcomes and reducing healthcare costs in the aging population.

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