Patient and Physician Factors Associated With Adherence to Diabetes Medications

Abstract

This study identified several patient-, physician-, and disease-related factors that should be targeted to maximize the potential for developing tailored adherence-enhancing interventions within the context of a collaborative patient-physician relationship.

Adesão ao tratamento do diabetes mellitus e variáveis sociodemográficas, clinicas e de controle metabólico

“…In terms of sex, the results found are in line with the literature, indicating a higher prevalence of women who do not adhere to the medication treatment and physical activity than men, although without significant evidence. (7,8,17) Concerning sex and diet, the results found add evidence to the literature, considering the lack of studies that established this link. (10) It can be inferred that the predictive variables of non-adherence can take different forms in men and women.…”

“…In the literature, the rates vary between 17% and 86% for medication treatment, 62% to 71% for the diet and 47% to 80% for physical exercise. (6)(7)(8) The evidences show that patients with DM adhere less to the diet and physical exercise than to the medication treatment. (6)(7)(8) On the other hand, studies related to non-adherence to the diet and physical exercise remain scarce, as most studies relate to adherence to the medication treatment.…”

“…(6)(7)(8) The evidences show that patients with DM adhere less to the diet and physical exercise than to the medication treatment. (6)(7)(8) On the other hand, studies related to non-adherence to the diet and physical exercise remain scarce, as most studies relate to adherence to the medication treatment. (3,6) Studies that investigated the aspects of treatment adherence appoint that cases of non-adherence prevail over adherence cases.…”

“…(3,6) Studies that investigated the aspects of treatment adherence appoint that cases of non-adherence prevail over adherence cases. (7,9,10) In a cross-sectional study undertaken in 2010 to investigate adherence and metabolic control in DM patients, out of 423 patients with type 2 DM (DM2) enrolled in 17 Family Health Services (FHS), only six presented adherence to the three recommended treatment pillars -medication, exercise and diet. (9) Based on this study, In view of the complexity of the treatment, the stakeholders in the disease management face a continuing challenge due to the countless variables involved in the treatment adherence.…”

Nurse Practitioner Autonomy and Relationships with Leadership Affect Teamwork in Primary Care Practices: a Cross-Sectional Survey

“…Policy makers and researchers are proposing innovative strategies and various workforce utilization models to assure the system is prepared as more people are gaining access. 1,2 While some strategies seek to increase the number of primary care providers (PCPs), 3,4 others seek to encourage efficient use of existing providers. 5 Some policy initiatives, such as medical homes, focus on delivering team-based care to increase primary care capacity and improve patient outcomes.…”