scholarly journals Incomplete medication adherence of chronically ill patients in German primary care

2013 ◽  
pp. 237 ◽  
Author(s):  
Jakob Hüther ◽  
von Wolff ◽  
Stange ◽  
Kriston ◽  
Baehr ◽  
...  
Keyword(s):  
Primary Care ◽  
Medication Adherence ◽  
Chronically Ill ◽  
Chronically Ill Patients

scholarly journals Attitudes to and experience of disease management programs in primary care—an exploratory survey of general practitioners in Germany

2021 ◽  
Author(s):  
Julian Wangler ◽  
Michael Jansky
Keyword(s):  
Primary Care ◽  
Disease Management ◽  
Patient Care ◽  
General Practitioners ◽  
Linear Regression Analysis ◽  
Chronically Ill ◽  
Disease Management Programs ◽  
Federal States ◽  
Set Up ◽  
Chronically Ill Patients

Summary Background Disease management programs (DMPs) were set up in Germany in 2003 to improve outpatient care of chronically ill patients. The present study looks at the attitudes and experiences of general practitioners (GPs) in relation to DMPs, how they rate them almost 20 years after their introduction and where they see a need for improvement. Methods A total of 1504 GPs in the Federal States of Rhineland Palatinate, Saarland and Hesse were surveyed between December 2019 and March 2020 using a written questionnaire. Results In total, 58% of respondents rate DMPs positively and regard them as making a useful contribution to primary care. The guarantee of regular, structured patient care and greater compliance are regarded as particularly positive aspects. It was also established that diagnostic and therapeutic knowledge was expanded through participation in DMPs. 57% essentially follow the DMP recommendations for (drug) treatment. Despite positive experiences of DMPs in patient care, the GPs surveyed mention various challenges (documentation requirements, frequent changes to the programmes, inflexibility). Univariant linear regression analysis revealed factors influencing the satisfaction with DMPs, such as improvement of compliance and clearly defined procedures in medical care. Conclusion Most of the GPs surveyed consider the combination of continuous patient care and evidence-based diagnosis and treatment to be a great advantage. To better adapt DMPs to the conditions of primary care, it makes sense to simplify the documentation requirements, to regulate cooperation with other healthcare levels more clearly and to give GPs more decision-making flexibility. Increased inclusion of GP experience in the process of developing and refining DMPs can be helpful.

scholarly journals Association of Team-Based Primary Care With Health Care Utilization and Costs Among Chronically Ill Patients

2019 ◽  
Vol 179 (1) ◽  
pp. 54 ◽  
Author(s):  
David J. Meyers ◽  
Alyna T. Chien ◽  
Kevin H. Nguyen ◽  
Zhonghe Li ◽  
Sara J. Singer ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Utilization ◽  
Chronically Ill ◽  
Care Utilization ◽  
Chronically Ill Patients

scholarly journals The effect of conflicting medication information and physician support on medication adherence for chronically ill patients

2010 ◽  
Vol 81 (2) ◽  
pp. 169-176 ◽  
Author(s):  
Delesha M. Carpenter ◽  
Robert F. DeVellis ◽  
Edwin B. Fisher ◽  
Brenda M. DeVellis ◽  
Susan L. Hogan ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Chronically Ill ◽  
Medication Information ◽  
Physician Support ◽  
Chronically Ill Patients
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