open access

Vol 83, No 6 (2015)
ORIGINAL PAPERS
Submitted: 2015-11-10
Accepted: 2015-11-10
Get Citation

Adherence to treatment in asthma and COPD patients in their doctors’ assessment

Przemysław Kardas, Paweł Lewek, Marcin Strzondała
DOI: 10.5603/PiAP.2015.0072
·
Pneumonol Alergol Pol 2015;83(6):436-444.

open access

Vol 83, No 6 (2015)
ORIGINAL PAPERS
Submitted: 2015-11-10
Accepted: 2015-11-10

Abstract

Introduction: Adherence to therapy is one of the basic preconditions of successful treatment of asthma and COPD. Unfortunately, many patients take their medication incorrectly. The aim of this study was to assess doctors’ knowledge of this phenomenon, including interventions able to improve patient adherence.

Material and methods: It was a questionnaire-based survey conducted among convenience sample of Polish physicians treating asthma and COPD.

Results: One hundred and sixty one physicians, mainly specialists in allergology (44.1%) and pulmonology (37.3%) took part in the study. According to participants, asthma patients took on average 65.4 ± 17.1% of doses of prescribed drugs, whereas COPD patients — 61.6 ± 24.2%. Over half of respondents claimed that during the first year of treatment, no more than 20% of asthma and COPD patients discontinue their therapy. Survey participants pointed at patients discourage (41.6%) and lack of knowledge about disease (19.3%) as the main reasons for discontinuation of therapy. Almost 2/3 of participants (65.8%) claimed that they could recognize non-adherence in their patients. Prescribing combination inhaled drugs (72.7%), drugs with infrequent dosing (63.4%), and affordable ones (53.4%) were the most common interventions aimed at improving adherence provided by respondents.

Conclusions: Survey participants were aware of the phenomenon of non-adherence in patients with asthma and COPD, but underestimated the real prevalence and seriousness of it. They also overestimated their ability to recognise non-adherence in their patients. Therefore, not necessarily they may obtain better adherence in their asthma and COPD patients. These results point at the issues which should be addressed in pre- and postgraduate education of physicians treating chronic airways conditions.

Abstract

Introduction: Adherence to therapy is one of the basic preconditions of successful treatment of asthma and COPD. Unfortunately, many patients take their medication incorrectly. The aim of this study was to assess doctors’ knowledge of this phenomenon, including interventions able to improve patient adherence.

Material and methods: It was a questionnaire-based survey conducted among convenience sample of Polish physicians treating asthma and COPD.

Results: One hundred and sixty one physicians, mainly specialists in allergology (44.1%) and pulmonology (37.3%) took part in the study. According to participants, asthma patients took on average 65.4 ± 17.1% of doses of prescribed drugs, whereas COPD patients — 61.6 ± 24.2%. Over half of respondents claimed that during the first year of treatment, no more than 20% of asthma and COPD patients discontinue their therapy. Survey participants pointed at patients discourage (41.6%) and lack of knowledge about disease (19.3%) as the main reasons for discontinuation of therapy. Almost 2/3 of participants (65.8%) claimed that they could recognize non-adherence in their patients. Prescribing combination inhaled drugs (72.7%), drugs with infrequent dosing (63.4%), and affordable ones (53.4%) were the most common interventions aimed at improving adherence provided by respondents.

Conclusions: Survey participants were aware of the phenomenon of non-adherence in patients with asthma and COPD, but underestimated the real prevalence and seriousness of it. They also overestimated their ability to recognise non-adherence in their patients. Therefore, not necessarily they may obtain better adherence in their asthma and COPD patients. These results point at the issues which should be addressed in pre- and postgraduate education of physicians treating chronic airways conditions.

Get Citation

Keywords

asthma, COPD, non-adherence, compliance

About this article
Title

Adherence to treatment in asthma and COPD patients in their doctors’ assessment

Journal

Advances in Respiratory Medicine

Issue

Vol 83, No 6 (2015)

Pages

436-444

DOI

10.5603/PiAP.2015.0072

Bibliographic record

Pneumonol Alergol Pol 2015;83(6):436-444.

Keywords

asthma
COPD
non-adherence
compliance

Authors

Przemysław Kardas
Paweł Lewek
Marcin Strzondała

Important: This website uses cookies.tanya dokter More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Czasopismo Pneumonologia i Alergologia Polska dostęne jest również w Ikamed - księgarnia medyczna

Wydawcą serwisu jest "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl