1 Forskningsenheden for Almen Praksis, Faculty of Health Sciences, Aarhus University, Aarhus University2 Department of Public Health - Forskningsenheden for Almen Praksis, Department of Public Health, Health, Aarhus University3 Department of Public Health - Forskningsenheden for Almen Praksis, Department of Public Health, Health, Aarhus University
Aim: It has been supposed that the relation between the doctor and the patient has implications for the adherence to medication. This study explores the effect of patient reported doctor-patient relationship on patient adherence with medication regiments. Methods: Design: Prospective cohort study of patients' evaluation of the doctor-patient-relation and adherence with new medication regimens. Setting: Primary care in Ringkjoebing County, Denmark in 2004. Participants: 10,972 patients aged 18 and over who had been consulting within a 3-month period evaluated 115 primary care physicians (PCPs) in 48 practices. Doctor-patient relationship was measured from The Danish version of the 23-item EUROPEP questionnaire measuring patient evaluation of general practice. From the register data on prescriptions we drew all subsidised drugs redeemed at pharmacies for each patient in 2002-2005. Patients, who did not have any drug prescriptions one year prior to the evaluation and had at least one new drug prescription for chronic conditions (statins, antihypertensives, SSRI/SNRI, oral antidiabetics) in the year after the evaluation were included as incident, new users of this medication. The adherence was measured as secondary non-compliance and as persistence. The incidence rate ratio of non-adherence was calculated for different levels of the patient evaluated doctor-patient-relationship. Results: A total of 482 patients started new treatment of which 98 were non-compliant and 7 were censored. This study will be the first to estimate the effect of the doctor-patient relationship on adherence. On the same time we will be able to explore if patients, who get more medicine, are more satisfied with their doctor.
Family practice, Patient satisfaction, patient compliance