Document Detail


Compliance with antihypertensive therapy: raising the bar of expectations.
MedLine Citation:
PMID:  10181995     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent advances in the effectiveness of antihypertensive therapies and the measurement of medication-taking behavior have raised the bar of expectations, both for patients and prescribing clinicians. This article reviews the principal findings and makes recommendations to improve pill taking among patients with hypertension. It summarizes several studies related to hypertension epidemiology, component behaviors contributing to suboptimal compliance with prescribed antihypertensive medications, the direct and indirect costs of nonadherent behaviors, and measures of pill-taking behavior. Based on this analysis, current levels of hypertension detection, treatment, and control remain suboptimal. Heuristics for adjusting antihypertensive regimens may be misleading and too simplistic. More than half of those patients failing to achieve goal blood pressure display suboptimal compliance rather than an inadequate regimen. In conclusion, there is a need for enhanced sophistication about medication-taking behavior, especially for hypertension, so that more patients with this condition can fully benefit from effective treatments.
Authors:
P Rudd
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of managed care     Volume:  4     ISSN:  1088-0224     ISO Abbreviation:  Am J Manag Care     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-09-14     Completed Date:  1998-09-14     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9613960     Medline TA:  Am J Manag Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  957-66     Citation Subset:  H    
Affiliation:
Stanford University School of Medicine, CA 94305, USA. rudd@leland.stanford.edu
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care
Antihypertensive Agents / economics,  therapeutic use*
Cost of Illness
Health Care Costs
Humans
Hypertension / drug therapy*,  economics
Managed Care Programs
Patient Compliance*
Patient Education as Topic
United States
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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