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. 2008 Sep 30;39(8):417–423. [Article in Spanish] doi: 10.1157/13108616

El cumplimiento terapéutico en la hipertensión arterial en España, según la opinión de los médicos de familia. Proyecto Cumplex☆

Compliance with hypertension therapy in spain, according to the views of family doctors. Cumplex Project

Emilio Márquez Contreras a,⁎, Mariano de la Figuera Von Wichmann b, Laura Roig Ponsa c, Jordi Naval Chamosa d
PMCID: PMC7664805  PMID: 17692229

Abstract

Objectives

To evaluate physicians’ knowledge of therapy compliance, their attitudes towards it and their training needs in this field.

Design

Transversal, descriptive study using a questionnaire.

Setting

Primary care centres in Spain.

Participants

Three thousand and trirty four general practitioners.

Main measurements

Definition of non-compliance, non-compliance in their own consultations and in the rest of Spain, methods of measurement, causes, association with therapy failure, efficacy and use of compliance-enhancing strategies, and need for training.

Results

Most participants (92%; 95% CI, 91.1-92.9) defined non-compliance as patients’ failure to take 5%-20% of their pills. A total of 32.4% (95% CI, 30.9%-33.9%) of the physicians estimated that less than 10% of their patients were non-compliers, whereas 6.8% (95% CI, 6.0-7.6) thought this was also the rate in the rest of Spain. The preferred methods of measurement were patient response (77.0%; 75.7-78.4) and their own clinical experience (76.0%; 74.6-77.4). About half (50.7%) believed that lack of compliance was associated with therapy failure in more than 50% of cases. The presence of adverse side-effects was considered a very important cause of poor compliance by 81.9%. The most common and effective strategies were: use of single-dose drugs (84.3%; 83.1-85.5) and nursing support (84.9%; 83.8-86.0).

Moreover, 65.2% (63.7-66.7) of the surveyed physicians had not received any education about compliance as medical students and 42% (40.4-43.6) said further training in compliance was needed.

Conclusions

A high percentage of physicians define compliance incorrectly and believe that other doctors have more non-complying patients than they do. They tend to favour non-validated measuring methods and they lack training.

Key words: Therapeutic compliance, Hypertension, Survey

Footnotes

☆

El trabajo ha sido presentado previamente, en la 11.ª Reunión Nacional de la SEH-LELHA en Madrid, en marzo de 2006. Ha contado con la financiación de Laboratorios Menarini S.A., Barcelona, España.

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