Evidence map›Paper›PMID 38941058›Full record

ArticleJournal of general internal medicine2024

Barriers and Unmet Educational Needs Regarding Implementation of Medication Adherence Management Across Europe: Insights from COST Action ENABLE.

Gaye Hafez, Emma Aarnio, Sara Mucherino, Maria Kamusheva, Miriam Qvarnström, Ines Potočnjak, Indre Trečiokiene, Jovan Mihajlović, Marie Ekenberg, Job F M van Boven and 2 more

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
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  4. Enhancing Post-Discharge Care for People Who Have Had an Acute Myocardial Infarction in Portugal: Insights From Patient Journey Mapping.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gaye Hafez *Department of Pharmacology, Faculty of Pharmacy, Altinbas University, Istanbul, Turkey.ORCID 0000-0002-0837-634X
Emma Aarnio *School of Pharmacy, University of Eastern Finland, Kuopio, Finland.
Sara MucherinoFederico II University of Naples, Naples, NA, Italy.
Maria KamushevaFaculty of Pharmacy, Medical University of Sofia, Sofia, Bulgaria.
Miriam QvarnströmDepartment of Pharmacy, Faculty of Pharmacy, Uppsala University, Uppsala, Sweden.
Ines PotočnjakSestre Milosrdnice University Hospital Center, School of Medicine Catholic University of Croatia, Zagreb, Croatia.
Indre TrečiokieneFaculty of Medicine, Vilnius University, Vilnius, Lithuania.
Jovan MihajlovićMihajlović Health Analytics, Novi Sad, Serbia.
Marie EkenbergDepartment of Pharmacy, Faculty of Pharmacy, Uppsala University, Uppsala, Sweden.
Job F M van BovenDepartment of Clinical Pharmacy and Pharmacology, Medication Adherence Expertise Center of the Northern Netherlands (MAECON), University Medical Center Groningen, University of Groningen, Groningen, Netherlands. j.f.m.van.boven@umcg.nl.
Francisca Leiva-Fernández *Andalusian Health Service-Málaga-Guadalhorce Health District-IBIMA-Platform BIONAND-University of Malaga, Malaga, Spain.
European Network to Advance Best Practices Technology on Medication AdherencE (ENABLE)

Funding

European Cooperation in Science and Technology CA19132
6 · The paper itself

Abstract

backgroundMedication adherence is essential for the achievement of therapeutic goals. Yet, the World Health Organization estimates that 50% of patients are nonadherent to medication and this has been associated with 125 billion euros and 200,000 deaths in Europe annually.

objectiveThis study aimed to unravel barriers and unmet training needs regarding medication adherence management across Europe.

designA cross-sectional study was conducted through an online survey. The final survey contained 19 close-ended questions.

participantsThe survey content was informed by 140 global medication adherence experts from clinical, academic, governmental, and patient associations. The final survey targeted healthcare professionals (HCPs) across 39 European countries. MAIN MEASURES: Our measures were barriers and unmet training needs for the management of medication adherence across Europe. KEY

resultsIn total, 2875 HCPs (pharmacists, 40%; physicians, 37%; nurses, 17%) from 37 countries participated. The largest barriers to adequate medication adherence management were lack of patient awareness (66%), lack of HCP time (44%), lack of electronic solutions (e.g., access to integrated databases and uniformity of data available) (42%), and lack of collaboration and communication between HCPs (41%). Almost all HCPs pointed out the need for educational training on medication adherence management.

conclusionsThese findings highlight the importance of addressing medication adherence barriers at different levels, from patient awareness to health system technology and to fostering collaboration between HCPs. To optimize patient and economic outcomes from prescribed medication, prerequisites include adequate HCP training as well as further development of digital solutions and shared health data infrastructures across Europe.

Indexed as

Drug MonitoringCross-Sectional StudiesEuropeFemaleHealth PersonnelHumansMaleSurveys and Questionnairesbarriershealthcaremedication adherencetrainingunmet needs

Identifiers

PMID38941058
PMCPMC11576669

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.