Heart and Vascular Health
32.4K views | +2 today
Follow
Heart and Vascular Health
Media, News & Topics on prevention, diagnosis & treatment of cardiovascular disease
Your new post is loading...
Your new post is loading...
Scooped by Seth Bilazarian, MD
Scoop.it!

Adherence Toolkit | National Lipid Association Online

Adherence Toolkit | National Lipid Association Online | Heart and Vascular Health | Scoop.it

The consequence of not recognizing and addressing these barriers is too great to ignore. The breakdown of medication adherence begins in the prescriber’s office and the likelihood of adherence diminishes as the patient proceeds to the pharmacy to fill the prescription and once the patient takes the medication home.

Reference: Adapted from Oyekan E. The B-SMART Medication Adherence Checklist. A Tool to make it easier for Physicians and Providers to do the right thing when addressing America’s other drug problem – Medication Non Adherence. Website: Department of Managed Health Care.  http://dmhc.ca.gov/library/reports/news/rci/oyekan.pdf

 

Seth Bilazarian, MD's insight:

A helpful monograph from National Lipid Association on the problem of medication and lifestyle adherence by patients.

more...
No comment yet.
Scooped by Seth Bilazarian, MD
Scoop.it!

Half of heart patients don't stick with meds

Half of heart patients don't stick with meds | Heart and Vascular Health | Scoop.it

Take Home Message:  It's known that patients don't always follow doctors' orders and few systems exist  to address this.  In my experience, the best way to stay on track is to have regular (twice annual) follow-up with a physician who is monitoring critical values like cholesterol & blood pressure and reviews the medication list to explain the utility and benefit of continued medication adherence.  It's not sophisticated, doesn't involve technology, but does work.

========================

Just half of people who are given a prescription to prevent heart disease continue to get their medications refilled over time. And among people who have already had a heart attack, one out of every three fails to continue getting their prescription refilled. The studies looked at seven medications, including aspirin, blood pressure drugs, and cholesterol-lowering statins, typically intended for life-long use. They estimate that 130,000 people die each year because they don't adhere to their prescriptions. 

more...
No comment yet.
Scooped by Seth Bilazarian, MD
Scoop.it!

Free, secure app to remember medications

Free, secure app to remember medications | Heart and Vascular Health | Scoop.it

Free, Secure Mobile App and Website designed to improve adherence to treatment regimens through self-directed reminders to take medications, refill prescriptions, and visit healthcare providers.

Bidirectional app allows patientsd to keep track of adherence and get refill reminders.  Proving that this makes even a modest benefit on medication adherence for patients would have a significant imopact on health outcomes.  See my other scoops on poor adherence for cardiac patients.

more...
No comment yet.
Scooped by Seth Bilazarian, MD
Scoop.it!

Why do Congestive Heart Failure (CHF) patient's not take their medications?

Why do Congestive Heart Failure (CHF) patient's not take their medications? | Heart and Vascular Health | Scoop.it

Key Takeaways:

Medications in CHF have been shown to reduce death and hospitalization rates.

Not reliably taking medications (nonadherence) rates are high. The factors predicting nonadherence remain unclear.  These authors identified 3 factors that more than doubled the likelihood of patients not "staying with the program"

1.  lapses in attention OR = 2.65

2.  excessive daytime sleepiness OR = 2.51

3.  Two or more medication dosings daily OR= 2.59

 

Adherence averaged about 84%, dosing adherence averaged 77%, and timing adherence averaged 63%.

Several factors anticipated to predict adherence were not significant predictors. Practical support for self-care, income, cost of medications, minor depression were all not predictors of adherence. The most likely reason for the difference between these results and past reports might be that most prior studies measured adherence using self-reportong.

more...
No comment yet.