Medication Noncompliance and Patient Satisfaction Following Percutaneous Coronary Intervention
| Autor: | Michael E. Thompson, Seda Aghabekyan, Lusine Abrahamyan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Cross-sectional study business.industry medicine.medical_treatment Percutaneous coronary intervention Stent Odds ratio Confidence interval Patient satisfaction Intervention (counseling) Emergency medicine medicine Physical therapy Radiology Nuclear Medicine and imaging Cardiology and Cardiovascular Medicine business Socioeconomic status |
| Zdroj: | Journal of Interventional Cardiology. 25:469-475 |
| ISSN: | 0896-4327 |
| Popis: | Objectives: This study evaluated the relationship between medication noncompliance and patient satisfaction in patients with drug-eluting stent revascularization in Armenia. Background: Reasons for medication noncompliance are multifactorial—often related to health system, patient, condition, therapy, and socioeconomic factors. Methods: The analytical cross-sectional survey used a simple random sample of patients aged 18 and over who had undergone percutaneous coronary artery intervention with drug-eluting stent from 2006 to 2008 (n = 271) at Nork Marash Medical Center, Yerevan, Armenia. Medication noncompliance was assessed using the Morisky Adherence Scale. Patient satisfaction items were selected from the Patient Satisfaction Questionnaire (PSQ-18). Results: Respondents’ mean age was 57.5 ± 9.8 years. Most (87.8%) were male. Nearly one-third of patients (31.0%) were noncompliant. Most reported good health (91.9%). Respondents most often cited out-of-pocket costs as a reason for noncompliance (19.2%). Age, gender, health status, smoking status, and cost were associated with medication noncompliance (P 0.05). Medication noncompliance was positively related to cost (odds ratio [OR] = 2.57, 95% CI = 1.33–4.97) and inversely related to health status (OR = 0.46, 95% CI = 0.25–0.85) and age (OR = 0.94, 95% CI = 0.91–0.97). Conclusion: Medication noncompliance is a multifactorial problem. Strategies reducing the economic burden on patients should improve compliance and, thus, treatment outcomes. These findings further efforts to benchmark performance in Armenia and other post-Soviet countries against western standards and experiences. (J Interven Cardiol 2012;25:469–475) |
| Databáze: | OpenAIRE |
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