Evidence map›Paper›PMID 29362241›Full record

ArticleBMJ open2018

Barriers and facilitators to medication adherence: a qualitative study with general practitioners.

Kirsi Kvarnström, Marja Airaksinen, Helena Liira

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Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
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82citing papers in PubMed, 4 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Kirsi KvarnströmClinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland.
Marja AiraksinenClinical Pharmacy Group, Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Finland.
Helena LiiraGeneral Practice, School of Medicine, University of Western Australia, Crawley, Western Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) manage the drug therapies of people with chronic diseases, and poor adherence to medication remains a major challenge.

objectiveThis qualitative study examined GPs' insights into non-adherence and ways of overcoming this problem.

methodsWe ran four focus groups comprising 16 GPs at the Kirkkonummi Health Centre (Southern Finland). Interviews were audiotaped, transcribed verbatim and analysed by inductive content analysis. MAIN

resultsThe two main themes in the discussions with the GPs were non-adherence in the care of chronic disease and increased need for medicine information. The medication management challenges identified were related to: patient-specific factors, the healthcare system, characteristics of drug therapies and the function and role of healthcare professionals as a team. To improve the situation, the GPs offered a number of solutions: improved coordination of care, better patient education and IT systems as well as enhanced interprofessional involvement in the follow-up of patients. DISCUSSION AND

conclusionsWith an ageing population, the GPs were increasingly confronted with non-adherence in the care of chronic diseases. They had mostly a positive attitude towards organising care in a more interprofessional manner. To support medication adherence and self-management, the GPs appreciated pharmacists' assistance especially with patients with polypharmacy and chronic diseases.

Indexed as

Cooperative BehaviorGeneral PractitionersMedication AdherenceMedication Therapy ManagementAdultChronic DiseaseCommunity Pharmacy ServicesContinuity of Patient CareFemaleFinlandFocus GroupsHumansInterviews as TopicMaleMiddle AgedProfessional Rolegeneral practitionerinter-professionalmedication adherencepharmacistqualitative research

Identifiers

PMID29362241
PMCPMC5786122

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.