ArticlePatient preference and adherence2012
Let's talk about medication: concordance in rating medication adherence among multimorbid patients and their general practitioners.
Article in Patient preference and adherence, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Inappropriate Use of Medication by Elderly, Polymedicated, or Multipathological Patients with Chronic Diseases.International journal of environmental research and public health · 2018Pooled it
- Predictors of medication adherence among patients with severe psychiatric disorders: findings from the baseline assessment of a randomized controlled trial (Tecla).BMC psychiatry · 2018Trial
- A Spanish pillbox app for elderly patients taking multiple medications: randomized controlled trial.Journal of medical Internet research · 2014Trial
- Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review.BMJ open · 2024Article
- Concordance in the healthcare context: A concept analysis.Belitung nursing journal · 2024Article
- Article
- Assessment of adherence to statin therapy in patients with coronary artery disease: comparison of three self-reporting measures.European journal of hospital pharmacy : science and practice · 2023Article
- Discordance Between Drug Adherence as Reported by Patients and Drug Importance as Assessed by Physicians.Annals of family medicine · 2016Article
- Self-report measures of medication adherence behavior: recommendations on optimal use.Translational behavioral medicine · 2015Review
- Factors associated with medication information in diabetes care: differences in perceptions between patients and health care professionals.Patient preference and adherence · 2015Article
- Medication nonadherence in Parkinson's disease.Current neurology and neuroscience reports · 2013Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication adherence can be essential for improving health outcomes. Patients with multiple chronic conditions, often receiving multiple medications, are at higher risk for medication nonadherence. Previous research has focused on concordance between patients and providers about which medication should be taken. However, the question of whether patients and providers are concordant in rating actual medication intake has not been answered as yet. This study aimed to explore the extent and predictors of patient - provider concordance in rating medication adherence in patients with multiple chronic conditions.
methodsOverall medication adherence was measured by self-report (Medication Adherence Report Scale, MARS-D) in a sample of 92 patients with multiple chronic conditions. Twelve treating primary care physicians were asked to rate medication adherence in these patients using a mirrored version of the MARS-D. Concordance between external rating and self-reported medication adherence was analyzed descriptively. Predictors of concordance in rating medication adherence were explored in a multilevel analysis.
resultsPatients rate their medication adherence markedly higher than their general practitioner. Accordingly, the percentage of concordance ranges between 40% (forgot to take medication) and 61% (deliberately omitted a dose). In multilevel analysis, concordance in rating medication adherence was positively associated with being the single primary care provider (β 2.24, P < 0.0001) and frequent questioning about medication use (β 0.66, P = 0.0031). At the patient level, "not [being] married" (β -0.81, P = 0.0064) and "number of prescribed medications" (β -0.10, P = 0.0203) were negative predictors of patient - provider concordance in rating medication adherence.
conclusionConcordance for rating medication adherence between general practitioners and their patients was low. Talking about medication on a regular basis and better continuity of care may enhance patient - provider concordance in rating medication adherence as a prerequisite for shared decisions concerning medication in patients with multiple chronic conditions.
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