title: A multinational cross-sectional survey of the management of patient medication adherence by European healthcare professionals.
abstract: OBJECTIVE
  To examine which interventions healthcare professionals use to support patients with taking medicines and their perceptions about the effectiveness of those actions.
  
  
  METHODS
  Cross-sectional multinational study.
  
  
  METHODS
  Online survey in Austria, Belgium, England, France, Germany, Hungary, The Netherlands, Poland, Portugal and Switzerland.
  
  
  METHODS
  A total of 3196 healthcare professionals comprising doctors (855), nurses (1047) and pharmacists (1294) currently registered and practising in primary care and community settings.
  
  
  METHODS
  
  
  
  METHODS
  Responses to the question 'I ask patients if they have missed any doses of their medication' for each profession and in each country.Secondary outcome: Responses to 50 items concerning healthcare professional behaviour to support patients with medication-taking for each profession and in each country.
  
  
  RESULTS
  Approximately half of the healthcare professionals in the survey ask patients with long-term conditions whether they have missed any doses of their medication on a regular basis. Pharmacists persistently report that they intervene less than the other two professions to support patients with medicines. No country effects were found for the primary outcome.
  
  
  CONCLUSIONS
  Healthcare professionals in Europe are limited in the extent to which they intervene to assist patients having long-term conditions with medication adherence. This represents a missed opportunity to support people with prescribed treatment. These conclusions are based on the largest international survey to date of healthcare professionals' management of medication adherence.
authors.affiliation: Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
authors.forename: Wendy
authors.initials: W
authors.lastname: Clyne
authors.affiliation: Leeds Institute of Health Sciences, Leeds University, Leeds, UK.
authors.forename: Comfort
authors.initials: C
authors.lastname: Mshelia
authors.affiliation: King's College, London, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: McLachlan
authors.affiliation: Institute of Science and Technology in Medicine, Keele University, Keele, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Jones
authors.affiliation: Institute of Nursing Science, University of Basel, Switzerland Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
authors.forename: Sabina
authors.initials: S
authors.lastname: de Geest
authors.affiliation: Sinclair School of Nursing, University of Missouri, Columbia, USA.
authors.forename: Todd
authors.initials: T
authors.lastname: Ruppar
authors.affiliation: Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
authors.forename: Kaat
authors.initials: K
authors.lastname: Siebens
authors.affiliation: Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Dobbels
authors.affiliation: First Department of Family Medicine, Medical University of Lodz, Lodz, Poland.
authors.forename: Przemyslaw
authors.initials: P
authors.lastname: Kardas
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005060:Europe; D005260:Female; D019538:Health Care Surveys; D006282:Health Personnel; D006801:Humans; D008297:Male; D055118:Medication Adherence; D024802:Nurse's Role; D010595:Pharmacists; D010819:Physician's Role; D011320:Primary Health Care
keywords: GENERAL MEDICINE (see Internal Medicine); PRIMARY CARE; PUBLIC HEALTH
references.citation: Int J STD AIDS. 2004 Jan;15(1):38-44
references.pmid: 14769170
references.citation: BMJ Open. 2011 Nov 03;1(1):e000355
references.pmid: 22080529
references.citation: Prev Med. 2005 Jan;40(1):41-5
references.pmid: 15530579
references.citation: Eur J Cardiovasc Nurs. 2011 Mar;10(1):14-21
references.pmid: 21095160
references.citation: Clin Pediatr (Phila). 2006 Jun;45(5):439-45
references.pmid: 16891277
references.citation: Med Care. 2009 Aug;47(8):826-34
references.pmid: 19584762
references.citation: Health Psychol. 1993 Mar;12(2):93-102
references.pmid: 8500445
references.citation: Cochrane Database Syst Rev. 2008;(2):CD000011
references.pmid: 18425859
references.citation: Implement Sci. 2008 Jul 16;3:36
references.pmid: 18631386