ArticlePatient preference and adherence2019
Medication Adherence In Patients With Arterial Hypertension: The Relationship With Healthcare Systems' Organizational Factors.
Article in Patient preference and adherence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of Text Messaging Interventions on Blood Pressure Control Among Patients With Hypertension: Systematic Review of Randomized Controlled Trials.JMIR mHealth and uHealth · 2021Pooled it
- Self-care practice among hypertensive patients in Ethiopia: systematic review and meta-analysis.Open heart · 2021Pooled it
- Determinants of Medication Non-Adherence among Productive-Aged Hypertensive Patients in Indonesia: A Secondary Data Analysis of Basic Health Research Database 2018.Iranian journal of public health · 2025Article
- Technologies for Better Blood Pressure Control: Do the Applications Offer the Necessary Quality?Arquivos brasileiros de cardiologia · 2025Article
- Adherence to antihypertensive treatment during the COVID-19 pandemic: findings from a cross-sectional study.Clinical hypertension · 2022Article
- Medication Adherence in Hypertensive Individuals in Panama 2019: A National Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2022Article
- Barriers and Solutions to Improve Therapeutic Adherence from the Perspective of Primary Care and Hospital-Based Physicians.Patient preference and adherence · 2022Article
- Evaluation of Frailty Syndrome and Adherence to Recommendations in Elderly Patients with Hypertension.Journal of clinical medicine · 2021Article
- Determinants of Non-Adherence to the Medications for Dyslipidemia: A Systematic Review.Patient preference and adherence · 2021Review
- Therapeutic Compliance of Patients with Arterial Hypertension in Primary Care.Medicina (Kaunas, Lithuania) · 2020Article
- The Role of Medication Beliefs on Medication Adherence in Middle Eastern Refugees and Migrants Diagnosed with Hypertension in Australia.Patient preference and adherence · 2020Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeArterial hypertension is one of the most common diseases in the world, presenting a great impact on global mortality. Despite having good medication, the best control depends on patient's adherence. Our aim is to characterize the relationship of adherence to medication in hypertensive patients with consultation length and other organizational factors of healthcare systems. PATIENTS AND
methodsWe performed a comprehensive review of literature using the MeSH terms "hypertension" and "medication adherence". 61 articles were selected for inclusion and adherence parameters were extracted, allowing us to estimate the mean adherence for each country. The adherence was then correlated with organizational aspects of healthcare systems: consultation length, number of health providers (doctors, nurses and pharmacists), number of hospital beds, health expenditure and general government expenditure.
resultsAdherence to medication ranged between 11.8% in Indonesia and 85.0% in Australia. There is much heterogeneity in methodology, but the Morisky Medication Adherence Scale was the preferred method, used in 63.6% of the cases. We found no relation with consultation length, but a significant one with the greater number of health professionals available. Some differences were observed when considering European countries or Morisky Medication Adherence Scale alone.
conclusionThe better the drugs, the better the control of blood pressure, if patients take them. Rather than investing in the prescription of more drugs, it is important to address non-adherence and reduce it to promote better blood pressure control. Organizational factors are relevant constraints and depend on administrative and political decisions. Although they are not always considered, they greatly impact the adherence to medication.
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