Relative Importance to Elderly Patients of Effectiveness, Adverse Effects, Convenience and Cost of Antihypertensive Medications

A Pilot Study

Summary

This pilot study was designed to investigate the attitudes of elderly patients regarding the choice of drugs for the treatment of hypertension.

A questionnaire was administered to a sample of elderly patients receiving antihypertensive therapy regarding effectiveness, adverse effects, cost and convenience. Forced choices were used in order to reflect practice realities.

44 patients, mean age 75.2 years, rated effectiveness and adverse effects more important than cost and convenience. Choices regarding adverse effect risk were slightly influenced by costs of the drugs and insurance status of the patients. Choices regarding convenience were heavily influenced by financial considerations.

Our study indicates that elderly patients are most concerned about effectiveness and safety, and express a willingness to pay more for these qualities in their antihypertensive drugs.

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References

  1. Cooper JK, Love DW, Raffoul PR. Intentional prescription non-adnerance by the elderly. Journal of the American Geriatrics Society 30: 329–333, 1982

    PubMed  CAS  Google Scholar 

  2. Eisen SA, Miller DK, Woodward RS, Spitznagel E, Przybeck TR. The effect of prescribed daily dose frequency on patient medica tion compliance. Archives of Internal Medicine 150: 1881–1884, 1990

    PubMed  Article  CAS  Google Scholar 

  3. Joyce G. Hubbard CW. Consumer patronage for pharmaceutical services: a cooperative analysis of upper income households in urban areas. Journal of Pharmaceutical Marketing and Management 3: 3–18, 1988

    Article  Google Scholar 

  4. Kessler DA. Communicating with patients about their medications. New England Journal of Medicine 325: 1650–1652, 1991

    PubMed  Article  CAS  Google Scholar 

  5. Linn MW, Linn BS, Stern SR. Satisfaction with ambulatory care and compliance in older patients. Medical Care 20: 606–614, 1982

    PubMed  Article  CAS  Google Scholar 

  6. Report of the Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure. Archives of Internal Medicine 148: 1023–1038, 1988

    Article  Google Scholar 

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Correspondence to Dr Robert P. Ferguson.

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Ferguson, R.P., Wetle, T., Dubitzky, D. et al. Relative Importance to Elderly Patients of Effectiveness, Adverse Effects, Convenience and Cost of Antihypertensive Medications. Drugs & Aging 4, 56–62 (1994). https://doi.org/10.2165/00002512-199404010-00006

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Keywords

  • Open Angle Glaucoma
  • Ocular Hypertension
  • Zopiclone
  • McNemar Test
  • Carteolol