A multinational cross-sectional survey of the management of patient medication adherence by European healthcare professionals

Wendy Clyne, Comfort Mshelia, Sarah McLachlan, Peter Jones, Sabina de Geest, Todd Ruppar, Kaat Siebens, Fabienne Dobbels, Przemyslaw Kardas, Wendy Clyne, Comfort Mshelia, Sarah McLachlan, Peter Jones, Sabina de Geest, Todd Ruppar, Kaat Siebens, Fabienne Dobbels, Przemyslaw Kardas

Abstract

Objectives: To examine which interventions healthcare professionals use to support patients with taking medicines and their perceptions about the effectiveness of those actions.

Design: Cross-sectional multinational study.

Setting: Online survey in Austria, Belgium, England, France, Germany, Hungary, The Netherlands, Poland, Portugal and Switzerland.

Participants: A total of 3196 healthcare professionals comprising doctors (855), nurses (1047) and pharmacists (1294) currently registered and practising in primary care and community settings.

Primary outcome: Responses to the question 'I ask patients if they have missed any doses of their medication' for each profession and in each country.Secondary outcome: Responses to 50 items concerning healthcare professional behaviour to support patients with medication-taking for each profession and in each country.

Results: Approximately half of the healthcare professionals in the survey ask patients with long-term conditions whether they have missed any doses of their medication on a regular basis. Pharmacists persistently report that they intervene less than the other two professions to support patients with medicines. No country effects were found for the primary outcome.

Conclusions: Healthcare professionals in Europe are limited in the extent to which they intervene to assist patients having long-term conditions with medication adherence. This represents a missed opportunity to support people with prescribed treatment. These conclusions are based on the largest international survey to date of healthcare professionals' management of medication adherence.

Keywords: GENERAL MEDICINE (see Internal Medicine); PRIMARY CARE; PUBLIC HEALTH.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

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Source: PubMed

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