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Adherence and persistence with taking medication to control high blood pressure

Hill, Martha N. and Miller, Nancy Houston and Degeest, Sabina and American Society of Hypertension Writing Group, and Materson, Barry J. and Black, Henry R. and Izzo, Joseph L. and Oparil, Suzanne and Weber, Michael A.. (2011) Adherence and persistence with taking medication to control high blood pressure. JASH : Journal of the American Society of Hypertension, Vol. 5, no. 1. pp. 56-63.

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Official URL: http://edoc.unibas.ch/dok/A6007449

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Abstract

Nonadherence and poor or no persistence with taking antihypertensive medications results in uncontrolled high blood pressure, poor clinical outcomes and preventable health care costs. Factors associated with nonadherence are multilevel and relate not only to the patient, but also to the provider, health care system, health care organization, and community. National guideline committees have called for more aggressive approaches to implement strategies known to improve adherence and technologies known to enable changes at the systems level including improved communication among providers and patients. Improvements in adherence and persistence are likely to be achieved by supporting patient self-management, a team approach to patient care, technology-supported office practice systems, better methods to measure adherence, and less clinical inertia. Integrating high blood pressure control into health care policies that emphasize and improve prevention and management of chronic illness remains a challenge. Four strategies are proposed: focusing on clinical outcomes; empowering informed, activated patients; developing prepared proactive practice teams; and advocating for health care policy reform. With hypertension remaining the most common reason for office visits, the time is now.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:De Geest, Sabina M.
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Bibsysno:Link to catalogue
Publisher:Elsevier
ISSN:1933-1711
Note:Publication type according to Uni Basel Research Database: Journal item
Last Modified:24 May 2013 09:14
Deposited On:26 Apr 2013 06:52

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