El incumplimiento del tratamiento farmacológico en la hipertensión arterial se sitúa entre el 35 y el 50%. En todos los hipertensos mal controlados, siempre hay que pensar en un posible incumplimiento farmacológico como su causa. Para detectar el incumplimiento hay que utilizar un método válido de medición, destacando el test de Haynes por su alta especificidad, el recuento de comprimidos y el uso de la receta electrónica. Para mejorar el cumplimiento, lo mejor es una combinación de estrategias eficaces y, de forma individual, la más favorable es la simplificación del tratamiento. Medidas eficaces son el programa de automedida domiciliaria de la presión arterial, la combinación de fármacos en doble o triple terapia fija, la educación sanitaria escrita y en grupos, los calendarios recordatorios y las tarjetas de control del cumplimiento o la mejora de la relación médico-paciente
Prevalence of non-adherence of pharmacological therapy in hypertension is between 35 and 50%. In every uncontrolled hypertensive one should assess drug adherence as the cause. Several validated methods to detect noncompliance exist, being most frequently used Haynes test, pill count, and use of electronic prescription. Strategies to improve compliance should include a combination of adequate information to patients, a simplified scheme of treatment, and periodic adherence assessment. Programs for home self-measurement of blood pressure, use of double or triple drug fixed combinations, group health education, reminders, calendars, and cards enforcement, and improving doctor-patient relationship are also useful tools for compliance optimization
Humans , Medication Adherence , Patient Compliance , Arterial Pressure , Hypertension/drug therapy , Hypertension/prevention & control , Prescriptions/standards , Treatment Refusal/statistics & numerical data , Harm Reduction , Risk Reduction Behavior
Prevalence of non-adherence of pharmacological therapy in hypertension is between 35 and 50%. In every uncontrolled hypertensive one should assess drug adherence as the cause. Several validated methods to detect noncompliance exist, being most frequently used Haynes test, pill count, and use of electronic prescription. Strategies to improve compliance should include a combination of adequate information to patients, a simplified scheme of treatment, and periodic adherence assessment. Programs for home self-measurement of blood pressure, use of double or triple drug fixed combinations, group health education, reminders, calendars, and cards enforcement, and improving doctor-patient relationship are also useful tools for compliance optimization.
Antihypertensive Agents/therapeutic use , Hypertension/drug therapy , Medication Adherence , Antihypertensive Agents/administration & dosage , Drug Combinations , Drug Monitoring/methods , Drug Therapy, Combination , Electronic Prescribing , Humans , Hypertension/psychology , Patient Education as Topic , Physician-Patient Relations , Self Report , Spain , Surveys and Questionnaires
