Medication non-adherence in a cohort of chronically ill Australians: A case of missed opportunities.

Laba, T-L; Lung, T; Jan, S; Scaria, A; Usherwood, T; Brien, J-A; Plant, N; Leeder, S

Medication non-adherence in a cohort of chronically ill Australians: A case of missed opportunities.

Laba, T-L Lung, T Jan, S Scaria, A Usherwood, T Brien, J-A Plant, N Leeder, S

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Publisher:: ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS
Publication Type:: Journal Article
Citation:: Aust J Gen Pract, 2018, 47, (8), pp. 556-562
Issue Date:: 2018-08

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Field	Value	Language
dc.contributor.author	Laba, T-L
dc.contributor.author	Lung, T
dc.contributor.author	Jan, S
dc.contributor.author	Scaria, A
dc.contributor.author	Usherwood, T
dc.contributor.author	Brien, J-A
dc.contributor.author	Plant, N
dc.contributor.author	Leeder, S
dc.date.accessioned	2022-09-11T22:08:30Z
dc.date.available	2022-09-11T22:08:30Z
dc.date.issued	2018-08
dc.identifier.citation	Aust J Gen Pract, 2018, 47, (8), pp. 556-562
dc.identifier.issn	2208-794X
dc.identifier.issn	2208-7958
dc.identifier.uri	http://hdl.handle.net/10453/161708
dc.description.abstract	BACKGROUND AND OBJECTIVES: This study investigated the effect of management - including home medicines reviews and chronic disease management plans funded through the Medicare Benefits Schedule - on self-reported medication non-adherence. METHOD: An observational cohort study including 244 individuals with an exacerbation of chronic illness enrolled into the Care Navigation randomised controlled trial of integrated care. Non-adherence was measured using the Morisky-Greene-Levine self-reported adherence tool. RESULTS: The cohort comprised an equal number of older men and women with, on average, three chronic diseases, receiving between five and 10 unique medications each month and visiting a general practitioner (GP) more than 50 times in the year prior to completing the questionnaire. Forty per cent reported non-adherence, which was greater in males (relative risk [RR]: 1.73; 95% confidence interval [CI]: 1.25, 2.54) and in patients reporting a recent fall (RR 1.40; 95% CI: 1.02, 1.89). GP-initiated chronic disease management programs did not influence adherence. DISCUSSION: Despite almost weekly contact with GPs, two in five patients were non-adherent. Better methods of encouraging adherence are needed.
dc.format	Print
dc.language	eng
dc.publisher	ROYAL AUSTRALIAN COLLEGE GENERAL PRACTITIONERS
dc.relation.ispartof	Aust J Gen Pract
dc.relation.isbasedon	10.31128/AFP-10-17-4351
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.mesh	Aged
dc.subject.mesh	Australia
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Medication Adherence
dc.subject.mesh	Middle Aged
dc.subject.mesh	Social Isolation
dc.subject.mesh	Humans
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Cohort Studies
dc.subject.mesh	Social Isolation
dc.subject.mesh	Aged
dc.subject.mesh	Middle Aged
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Medication Adherence
dc.title	Medication non-adherence in a cohort of chronically ill Australians: A case of missed opportunities.
dc.type	Journal Article
utslib.citation.volume	47
utslib.location.activity	Australia
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-11T22:08:29Z
pubs.issue	8
pubs.publication-status	Published
pubs.volume	47
utslib.citation.issue	8

Abstract:

BACKGROUND AND OBJECTIVES: This study investigated the effect of management - including home medicines reviews and chronic disease management plans funded through the Medicare Benefits Schedule - on self-reported medication non-adherence. METHOD: An observational cohort study including 244 individuals with an exacerbation of chronic illness enrolled into the Care Navigation randomised controlled trial of integrated care. Non-adherence was measured using the Morisky-Greene-Levine self-reported adherence tool. RESULTS: The cohort comprised an equal number of older men and women with, on average, three chronic diseases, receiving between five and 10 unique medications each month and visiting a general practitioner (GP) more than 50 times in the year prior to completing the questionnaire. Forty per cent reported non-adherence, which was greater in males (relative risk [RR]: 1.73; 95% confidence interval [CI]: 1.25, 2.54) and in patients reporting a recent fall (RR 1.40; 95% CI: 1.02, 1.89). GP-initiated chronic disease management programs did not influence adherence. DISCUSSION: Despite almost weekly contact with GPs, two in five patients were non-adherent. Better methods of encouraging adherence are needed.

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http://hdl.handle.net/10453/161708