Primary Care Records of Chronic-Disease Patient Adherence to Treatment

Mireia Massot Mesquida, Josep Anton de la Fuente, Anna María Andrés Lorca, Ingrid Arteaga Pillasagua, Edelmiro Balboa Blanco, Sonia Gracia Vidal, Sara Pablo Reyes, Paula Gómez Iparraguirre, Gemma Seda Gombau and Pere Torán-Monserrat
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Mireia Massot Mesquida: Servei d’Atenció Primària Vallès Occidental, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08201 Barcelona, Spain
Josep Anton de la Fuente: Servei d’Atenció Primària Barcelonès Nord i Maresme, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Badalona, 08911 Barcelona, Spain
Anna María Andrés Lorca: Centre d’Atenció Primària Santa Coloma 1, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Santa Coloma, 08921 Barcelona, Spain
Ingrid Arteaga Pillasagua: Centre d’Atenció Primària Vall del Tenes, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Lliçà d’Amunt, 08186 Barcelona, Spain
Edelmiro Balboa Blanco: Centre d’Atenció Primària Sant Quirze del Vallès, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08192 Barcelona, Spain
Sonia Gracia Vidal: Servei d’Atenció Primària Barcelonès Nord i Maresme, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Badalona, 08911 Barcelona, Spain
Sara Pablo Reyes: Direcció d’Atenció Primària Metropolitana Nord, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08201 Barcelona, Spain
Paula Gómez Iparraguirre: Centre d’Atenció Primària Sabadell La Serra, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08202 Barcelona, Spain
Gemma Seda Gombau: Unitat de Suport a la Recerca Metropolitana Nord, Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08303 Mataró, Spain
Pere Torán-Monserrat: Unitat de Suport a la Recerca Metropolitana Nord, Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08303 Mataró, Spain

IJERPH, 2021, vol. 18, issue 7, 1-11

Abstract: The goal of managing adherence (AD) is to achieve better medication use by patients in order to maximize benefits and reduce risks. With the aim of improving treatment adherence by patients, we carried out a descriptive study to obtain information related to adherence management in primary care. Inclusion criteria were as follows: patients that had at least one record of any treatment adherence assessment variable. For those that had more than one recorded variable, we analyzed consistency across test results. For the comparative analysis of adherence records, patients were categorized into three groups on the basis of the healthcare unit that recorded the data: case management (CM), home care (HC), and primary care team (PCT). A total of 32,137 subjects met inclusion criteria; 79.56% of subjects were older than 65. As for the analysis of assessment records across care units, 69.73% of CM patients, 67.17% of HC patients, and 2.33% of PCT patients had adherence assessment records. CM units made a significantly greater number of records than HC units. We observed low adherence at a rate of 49.3% in the CM group, 31.91% in the HC group, and 17.58% in the PCT group. When more than one adherence variable was recorded, analysis revealed inconsistent test results or recorded variables in 9.06% of PCT cases, 14.83% of HC cases, and 20.47% of CM cases. The inconsistencies observed in records of adherence assessment and management across different care units reveal the huge variability that exists in managing and selecting a tool to assess adherence.

Keywords: medication adherence; chronic diseases; primary care; healthcare evaluation mechanisms (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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