The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study
- 1 August 1994
- journal article
- clinical trial
- Published by Springer Nature in Journal of Behavioral Medicine
- Vol. 17 (4), 347-360
- https://doi.org/10.1007/bf01858007
Abstract
The association between adherence to medical recommendations and health outcomes (physical, role, and social functioning, energy/fatigue, pain, emotional well-being, general health perceptions, diastolic blood pressure, and glycohemoglobin) was examined in a 4-year longitudinal, observational study of 2125 adult patients with chronic medical conditions (hypertension, diabetes, recent myocardial infarction, congestive heart failure) and/or depression. Change score models were evaluated, controlling for disease and comorbidity. Patient adherence was associated minimally with improvement in health outcomes in this study. Only 11 of 132 comparisons showed statistically significant positive effects of adherence on health outcomes. We conclude thatKeywords
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