Key result
A survey of 200 healthcare professionals in ESH Centres of Excellence found a low level of implementation of tools to detect and improve medication adherence in hypertension management.
Why the study?
Little is known regarding the beliefs, perceptions, and practices of hypertension specialists in addressing patient non-adherence to therapy.
Cross-Sectional (n=200)
Yes
A survey of European Society of Hypertension Centres of Excellence reveals a low level of implementation of tools to detect and improve medication adherence among healthcare professionals.
Low adherence tool use in ESH centers signals an implementation gap; leaves open optimal strategies to improve hypertension management.
PURPOSE: Little is known on the beliefs, perceptions and practices of hypertension specialists in addressing non-adherence to therapy. Therefore, a survey was undertaken amongst healthcare professionals (HCPs) managing hypertension in the European Society of Hypertension (ESH) Centres of Excellence. MATERIALS AND METHODS: Cross-sectional data were obtained between December 2020 and April 2021 using an online anonymous structured questionnaire including 26 questions/136 items, that was sent to all ESH Excellence centres. RESULTS: Overall 67 from 187 centres (37.3%) responded and 200 HCPs from 30 countries answered the questionnaire. Participants (60% men) were mainly physicians (91%) and nurses (8%) from University hospitals (77%). Among physicians, 83% had >10 years professional experience. Average time dedicated to discuss medications was 1-5 min in 48% and 6-10 min in 29% of cases. Interviews with patients about adherence were the most frequently used assessment method. Chemical detection of medications in urine was available in 36% of centres. One third of physicians involved their patients regularly in treatment decisions. The most frequent methods to improve adherence included simplification of medication therapy, more frequent visits, and home blood pressure monitoring. CONCLUSIONS: The level of implementation of tools to detect and improve adherence in hypertension management by HCPs in ESH excellence centres is low. Structured educational activities focussing on adherence management and access to the newest objective measures to detect non-adherence might improve these deficits.
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Burnier et al. (2021) conducted a cross-sectional in Hypertension (n=200). Survey on beliefs and behaviour regarding patient medication adherence was evaluated on Beliefs, perceptions and practices in addressing non-adherence to therapy. A survey of 200 healthcare professionals in ESH Centres of Excellence found a low level of implementation of tools to detect and improve medication adherence in hypertension management.
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