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  • 标题:Nonadherence in type 2 diabetes: practical considerations for interpreting the literature
  • 本地全文:下载
  • 作者:David F Blackburn ; Jaris Swidrovich ; Mark Lemstra
  • 期刊名称:Patient Preference and Adherence
  • 印刷版ISSN:1177-889X
  • 电子版ISSN:1177-889X
  • 出版年度:2013
  • 卷号:7
  • 页码:183-189
  • DOI:10.2147/PPA.S30613
  • 出版社:Dove Medical Press Ltd
  • 摘要:The rising prevalence of type 2 diabetes poses a serious threat to human health and the viability of many health care systems around the world. Although several prescription medications can play a vital role in controlling symptoms and preventing complications, non-adherence to these therapies is highly prevalent and has been linked to increases in morbidity, mortality, and health care costs. Although a vast array of significant adherence predictors has been identified, the ability to explain or predict non-adherence with known risk-factors remains poor. Further, the definitions, outcomes, and various measures used in the non-adherence literature can be misleading for the unfamiliar reviewer. In this narrative review, a practical overview of important considerations for interpreting adherence endpoints and measures is discussed. Also, an organizational framework is proposed to consider published adherence interventions. This framework may allow for a unique appreciation into areas of limited knowledge and thus highlights targets for future research.
  • 关键词:medication adherence; compliance; type 2 diabetes; adherence interventions
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