| Compliance with antihypertensive therapy: raising the bar of expectations. | |
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MedLine Citation:
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PMID: 10181995 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P Rudd |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The American journal of managed care Volume: 4 ISSN: 1088-0224 ISO Abbreviation: Am J Manag Care Publication Date: 1998 Jul |
Date Detail:
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Created Date: 1998-09-14 Completed Date: 1998-09-14 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 957-66 Citation Subset: H |
Affiliation:
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Stanford University School of Medicine, CA 94305, USA. rudd@leland.stanford.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Antihypertensive Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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