Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 2017Journal of Research in Medical SciencesOpen Access

Medication adherence in patients with hypertension: Does satisfaction with doctor-patient relationship work?

View Full Paper
Ask AI
Bookmark
Share

Key result

Lower patient satisfaction with building a relationship with their physician was significantly associated with nonadherence to hypertension treatment (OR 0.20).

Why the study?

Does patient satisfaction with the doctor-patient relationship improve medication adherence in patients with hypertension?

Population

300 patients with primary hypertension for more than 1 year, aged 15 years or older, literate, residing in…

Design

Cross-sectional

Authors

AMAhmad MahmoudianAZAhmadreza ZamaniNTNeda Tavakoli

Discussion

Loading...

Member takes

Overview

Satisfaction with doctor-patient relationship and empathy was associated with adherence in hypertension; leaves open whether interventions improve outcomes in prospective studies.

Study Design

Type

Cross-Sectional (n=300)

Multicenter

Yes

Structured PICO

Does patient satisfaction with the doctor-patient relationship improve medication adherence in patients with hypertension?

P
Population
300 literate patients aged 15 years or older with primary hypertension for over 1 year, recruited from two health care centers in Isfahan, Iran.
E
Exposure
Patient satisfaction derived from the relationship with doctors (measured by a 24-item questionnaire assessing building relationship, gathering information, empathy, respect, and shared decision-making)
O
Outcome
Medication adherence measured by the 8-item Morisky Medication Adherence Scale (MMAS)patient reported

Main Result

Odds Ratio: 0.2 (95% CI 0.06–0.71)

p-value: p=0.01

Patient satisfaction with building a relationship and empathy with their physician is significantly associated with better medication adherence in hypertensive patients.

Limitations

  • Use of a self-report questionnaire whose accuracy to assess medication adherence has been doubted
  • Patients attending private clinics were not included, limiting generalizability
  • A comprehensive figure was not provided for all main factors affecting medication adherence
  • Use of a self-report questionnaire to assess medication adherence
  • Patients attending private clinics may have different characteristics than those in public health-care centers, limiting generalizability

Cite This Study

Mahmoudian et al. (2017) conducted a cross-sectional in Hypertension (n=300). Lower satisfaction with doctor-patient relationship vs. Higher satisfaction was evaluated on Nonadherence to medication (OR 0.20, 95% CI 0.06-0.71, p=0.01). Lower patient satisfaction with building a relationship with their physician was significantly associated with nonadherence to hypertension treatment (OR 0.20).

synapsesocial.com/papers/6aa01e030fbdfd5dd81defdehttps://doi.org/10.4103/jrms.jrms_205_16
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Randomized Pilot Study of a Behavioral Feedback Intervention to Improve Medication Adherence in Older Adults With Hypertension2010 · 49 citations
  2. 2Prevalence, awareness and risk factors of hypertension in a large cohort of Iranian adult population2013 · 146 citations
  3. 3Variations in Patients’ Adherence to Medical Recommendations2004 · 2,182 citations
  4. 4Hypertension prevalence, awareness, treatment and control in national surveys from England, the USA and Canada, and correlation with stroke and ischaemic heart disease mortality: a cross-sectional study2013 · 469 citations
  5. 5Psychometric properties of the 8-item Morisky Medication Adherence Scale in patients taking warfarin2012 · 67 citations