Journal of Behavioral Medicine

, Volume 34, Issue 4, pp 244–253

Patient centered primary care is associated with patient hypertension medication adherence

Authors

    • VA Tennessee Valley HealthcareTennessee Valley Geriatric Research Education Clinical Center (GRECC)
    • HSR&D Targeted Research Enhancement Program Center for Patient Healthcare Behavior
    • Tennessee Valley VA Clinical Research Training Center of Excellence (CRCoE)
    • Department of MedicineVanderbilt University
    • VA National Quality Scholars Program
    • Nashville VA Medical Center
  • Robert Greevy
    • VA Tennessee Valley HealthcareTennessee Valley Geriatric Research Education Clinical Center (GRECC)
    • HSR&D Targeted Research Enhancement Program Center for Patient Healthcare Behavior
    • Tennessee Valley VA Clinical Research Training Center of Excellence (CRCoE)
    • Department of BiostatisticsVanderbilt University
  • Kenneth A. Wallston
    • VA Tennessee Valley HealthcareTennessee Valley Geriatric Research Education Clinical Center (GRECC)
    • HSR&D Targeted Research Enhancement Program Center for Patient Healthcare Behavior
    • School of NursingVanderbilt University
  • Tom A. Elasy
    • VA Tennessee Valley HealthcareTennessee Valley Geriatric Research Education Clinical Center (GRECC)
    • HSR&D Targeted Research Enhancement Program Center for Patient Healthcare Behavior
    • Department of MedicineVanderbilt University
    • VA National Quality Scholars Program
  • Lisa Kaltenbach
    • Duke Clinical Research Institute
  • Kristen Kotter
    • VA Tennessee Valley HealthcareTennessee Valley Geriatric Research Education Clinical Center (GRECC)
    • HSR&D Targeted Research Enhancement Program Center for Patient Healthcare Behavior
    • Tennessee Valley VA Clinical Research Training Center of Excellence (CRCoE)
    • Department of BiostatisticsVanderbilt University
  • Robert S. Dittus
    • VA Tennessee Valley HealthcareTennessee Valley Geriatric Research Education Clinical Center (GRECC)
    • HSR&D Targeted Research Enhancement Program Center for Patient Healthcare Behavior
    • Department of MedicineVanderbilt University
    • VA National Quality Scholars Program
  • Theodore Speroff
    • VA Tennessee Valley HealthcareTennessee Valley Geriatric Research Education Clinical Center (GRECC)
    • HSR&D Targeted Research Enhancement Program Center for Patient Healthcare Behavior
    • Department of MedicineVanderbilt University
    • VA National Quality Scholars Program
    • Department of BiostatisticsVanderbilt University
    • Department of Preventive MedicineVanderbilt University
Article

DOI: 10.1007/s10865-010-9304-6

Cite this article as:
Roumie, C.L., Greevy, R., Wallston, K.A. et al. J Behav Med (2011) 34: 244. doi:10.1007/s10865-010-9304-6

Abstract

There is increasing evidence that patient centered care, including communication skills, is an essential component to chronic illness care. Our aim was to evaluate patient centered primary care as a determinant of medication adherence. We mailed 1,341 veterans with hypertension the Short Form Primary Care Assessment Survey (PCAS) which measures elements of patient centered primary care. We prospectively collected each patient’s antihypertensive medication adherence for 6 months. Patients were characterized as adherent if they had medication for >80%. 654 surveys were returned (50.7%); and 499 patients with complete data were analyzed. Antihypertensive adherence increased as scores in patient centered care increased [RR 3.18 (95% CI 1.44, 16.23) bootstrap 5000 resamples] for PCAS score of 4.5 (highest quartile) versus 1.5 (lowest quartile). Future research is needed to determine if improving patient centered care, particularly communication skills, could lead to improvements in health related behaviors such as medication adherence and health outcomes.

Keywords

Medication adherenceHypertensionPatient centered careCommunication

Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2010