Factors Contributing to Medication Adherence in Patients with a Chronic Condition : A Scoping Review of Qualitative Research

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Kvarnström , K , Westerholm , A , Airaksinen , M & Liira , H 2021 , ' Factors Contributing to Medication Adherence in Patients with a Chronic Condition : A Scoping Review of Qualitative Research ' , Pharmaceutics , vol. 13 , no. 7 , 1100 . https://doi.org/10.3390/pharmaceutics13071100

Title: Factors Contributing to Medication Adherence in Patients with a Chronic Condition : A Scoping Review of Qualitative Research
Author: Kvarnström, Kirsi; Westerholm, Aleksi; Airaksinen, Marja; Liira, Helena
Other contributor: University of Helsinki, HUS Pharmacy
University of Helsinki, Division of Pharmacology and Pharmacotherapy
University of Helsinki, Clinicum






Date: 2021-07
Language: eng
Number of pages: 41
Belongs to series: Pharmaceutics
ISSN: 1999-4923
DOI: https://doi.org/10.3390/pharmaceutics13071100
URI: http://hdl.handle.net/10138/332858
Abstract: Introduction: Medication adherence continues to be a significant challenge in healthcare, and there is a shortage of effective interventions in this area. This scoping review studied the patient-related factors of medication adherence. Methods: We searched Medline Ovid, Scopus, and Cochrane Library from January 2009 to June 2021 to find the most recent original qualitative studies or systematic reviews that addressed the patient-related factors of medication adherence in treating chronic conditions. We used the PRISMA-ScR checklist to ensure the quality of the study. Results: The initial search revealed 4404 studies, of which we included 89 qualitative studies in the scoping review. We inductively organized the patient-related factors causing barriers, as well as the facilitators to medication adherence. The studies more often dealt with barriers than facilitators. We classified the factors as patient-specific, illness-specific, medication-related, healthcare and system-related, sociocultural, as well as logistical and financial factors. Information and knowledge of diseases and their treatment, communication, trust in patient-provider relationships, support, and adequate resources appeared to be the critical facilitators in medication adherence from the patient perspective. Discussion and conclusions: Patients are willing to discuss their concerns about medications. Better communication and better information on medicines appear to be among the critical factors for patients. The findings of this scoping review may help those who plan further interventions to improve medication adherence.
Subject: medication adherence
patient compliance
primary non-adherence
patient-related factors
qualitative research
barriers
facilitators
scoping review
chronic conditions
ANTIRETROVIRAL THERAPY
SECONDARY PREVENTION
PATIENTS PERSPECTIVE
PATIENTS EXPERIENCE
STROKE PATIENTS
DISEASE
BARRIERS
MEDICINE
BELIEFS
NONADHERENCE
317 Pharmacy
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