Publicação
Impact of the doctor-patient relationship on non-compliance with pharmacological medical prescription in chronic disease. A cross-sectional study
| dc.contributor.author | Ribeiro, Maria Isabel | |
| dc.contributor.author | Roque, Fátima | |
| dc.contributor.author | Nascimento, Luís | |
| dc.contributor.author | Aragão, Maria Ângela | |
| dc.date.accessioned | 2018-12-19T14:46:22Z | |
| dc.date.available | 2018-12-19T14:46:22Z | |
| dc.date.issued | 2018 | |
| dc.description.abstract | Background: In developed countries chronic disease is currently the main reason why people betake to health care [1]. Negative effects of non-compliance with medical prescription reduce the clinical benefits of the medication, leading in most cases to the use of unnecessary treatments, hospitalization and death [2]. Factors associated with non-compliance with medical prescription may be related to: the doctor-patient relationship, the treatment, the health system, the heath condition and the socioeconomic situation. Aim: To assess the impact of the doctor-patient relationship on non-compliance with pharmacological medical prescription in chronic disease. Methods: A cross-sectional design was developed based on a random sample of 141 patients with pathologies covered by Portuguese Exceptional Legislation. To collect the data, it was applied a questionnaire by interview between July 2017 and April 2018. The questionnaire included socioeconomic variables and a list of non-compliance factors developed by Cabral & Silva (2010) [3]. The IBM SPSS 24.0 software was used to analyse the data. Besides descriptive statistics, the data analysis involved the estimation of a logistic regression model, at a confidence level of 95%. Results: Chronic patients were aged between 20 and 95 years old, with a mean age of 65.3 years (SD = 19.39). Most were female (51.8%), married or lived in marital cohabitation (62.4%), retired (55.3%), and had up to the 3rd cycle of schooling (61%) and an income up to € 1,000 (62.4%). These patients suffered from Chronic Renal Insufficiency (CRI) (63.1%), Rheumatoid Arthritis (RA) and Psoriatic Arthritis (PA) (20.6%), Multiple Sclerosis (MS) (10.6%), Amyotrophic Lateral Sclerosis (ALS) (2.1%), Hepatitis C Virus (HCV) (2.1%), Hepatic disease (HD) (0.7%) and Gaucher Syndrome (GS) (0.7%). The active substances most dispensed were: ferrous sulphate (76.6%), folic acid (73.8%), calcium polysterenonosulfonate (53.2%), alfacalcidol (48.9%), epoetin β (43.3%), complex B (26.2%) for CRI; adalimumab (8.5%), etarnecept (7.1%) and Ustecinumab (4.3%) for RA and PA; interferon B (8.5%) for MS. Modal treatment time was 24 months. The main reason for non-compliance with pharmacological prescription was “the doctor prescribes too many medications” (35%). The second most mentioned reason was “the fear to ask questions”(18.4%), followed by "not realize what doctors say" (17.5%) and the “lack of confidence in doctors” (6.8%). A patient who does not consider that “the doctor prescribes too many medications” has a lower risk of non-compliance with the pharmacological prescription [OR= 0,262; CI (95%): 0,112-0,617]. Conclusion: The doctor-patient relationship is fundamental for compliance with the prescribed therapy and consequently for the improvement of the clinical benefits of medication and well-being of the patient. References [1]. Dowrick, C., Dixon-Woods, M., Holman, H., & Weinman, J. What is chronic illness? Chronic Illness, 1, 2005, 1-6. [2]. Bugalho A & Carneiro A. (2004). Intervenções para aumentar a adesão terapêutica em patologias crónicas. Lisboa Centro de Estudos de Medicina Baseada na Evidência - Faculdade de Medicina de Lisboa. [3]. Cabral, M., Silva, P. A adesão à terapêutica em Portugal: Atitudes e comportamentos da população portuguesa perante as prescrições médicas. APIFARMA, 2010. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Ribeiro, Maria Isabel; Roque, Fátima; Nascimento, Luís; Aragão, Maria Ângela (2018). Impact of the doctor-patient relationship on non-compliance with pharmacological medical prescription in chronic disease. A cross-sectional study. In 18th Annual Meeting Pharmacovigilance without borders. Genebra | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10198/18281 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Drug Saf | pt_PT |
| dc.subject | Non-compliance | pt_PT |
| dc.subject | Doctor-patient relationship | pt_PT |
| dc.subject | Medicines | pt_PT |
| dc.title | Impact of the doctor-patient relationship on non-compliance with pharmacological medical prescription in chronic disease. A cross-sectional study | pt_PT |
| dc.type | conference paper | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | Genebra, ISOP 2018 | pt_PT |
| oaire.citation.endPage | 1205 | pt_PT |
| oaire.citation.issue | 41 | pt_PT |
| oaire.citation.startPage | 1204 | pt_PT |
| oaire.citation.title | Drug Safety | pt_PT |
| person.familyName | Ribeiro | |
| person.familyName | Nascimento | |
| person.givenName | Maria Isabel | |
| person.givenName | Luís | |
| person.identifier | 2474707 | |
| person.identifier.ciencia-id | 8D1B-9409-7921 | |
| person.identifier.ciencia-id | 9918-ED25-623E | |
| person.identifier.orcid | 0000-0002-5425-006X | |
| person.identifier.orcid | 0000-0002-1302-2570 | |
| person.identifier.scopus-author-id | 58492545800 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | conferenceObject | pt_PT |
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