OBJECTIVES Cardiology referral is common for patients admitted for non-cardiac diseases. Recommendations from cardiologists may involve complex and aggressive treatments that could be ignored or denied by other physicians. The purpose of this study was to compare the outcomes of patients who were given recommendations during cardiology referrals and to examine the clinical outcomes of patients ...

BACKGROUND Physician adherence to hand hygiene remains low in most hospitals. OBJECTIVES To identify risk factors for nonadherence and assess beliefs and perceptions associated with hand hygiene among physicians. DESIGN Cross-sectional survey of physician practices, beliefs, and attitudes toward hand hygiene. SETTING Large university hospital. PARTICIPANTS 163 physicians. MEASUREMENTS...

Background The National Health Insurance Service (NHIS) conducted a screening test to detect chronic diseases such as hypertension and diabetes in Korea. This study evaluated the effects of health screening for DM on pharmacological treatment. Methods The data from qualification and the General Health Screening in 2012, the insurance claims of medical institutions from Jan 2009 to Dec 2014, a...

An anonymous, online survey of medical students, interns, and faculty at a university hospital was conducted in 2013 to examine self-reported adherence to hand hygiene opportunities. Variation in self-reported adherence ranged from frequencies of 60%-100%. Such variation suggests the need to direct education toward hand hygiene opportunities with lower reported rates of adherence, especially to...

BACKGROUND Comorbidity has been noted as a potential barrier to proper adherence to antihypertensive medications. OBJECTIVES We decided to investigate whether comorbidity could significantly affect adherence of Iranian patients with hypertension to their medication regimen. PATIENTS AND METHODS Two hundred and eighty consecutive hypertensive patients were interviewed in 4 cities of Iran. Th...

Medication non-adherence, the extent to which a person’s behavior does not coincide with medical or health advice, is a serious public health issue. Objectives: 1) Develop a new typology of medication non-adherence, 2) Develop models to predict different types of non-adherence based on Andersen Behavioral Model (ABM) and Leventhal’s Common Sense Model (CSM), and 3) Test the models across two di...

Noncompliance or nonadherence to prescribed medication is common. Reasons given by patients for not taking medications as include cost, adverse effects, perceived lack of effectiveness, all which are important factors in shared decision-making between health care providers and patients. It has been assumed that better compliance with therapy would mean control disease, prevention disease-associ...

Background There is a paucity of studies on the social determinants of adherence to antiretroviral therapy, especially in Latin American countries. The purpose of the study was twofold: to assess the relationship between antiretroviral adherence and social position among Colombian women with HIV/AIDS and to examine the possibility of expanding the medical concept of adherence to treatment inclu...

Nonadherence to topical treatment of psoriasis is a common cause of treatment failure. This focus group study was conducted to obtain the patients' own experiences and explanations regarding medical adherence. The participants consisted of eight primary adherent patients with moderate psoriasis treated with corticosteroid or corticosteroid-calcipotriol combinations, purposefully sampled by age ...