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Review article

Why do Patients with Arterial Hypertension not Adhere to Treatment Instructions?

Valerija Bralić Lang


Full text: croatian pdf 136 Kb

page 25-31

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Full text: english pdf 136 Kb

page 25-31

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Abstract

On average, only 50% of patients with chronic noncommunicable diseases adhere to treatment instructions, and such lower levels of adherence to arterial hypertension treatment are associated with poorer blood pressure control and subsequent adverse outcomes such as stroke, myocardial infarction, heart failure and death. Although medications that effectively control blood pressure and reduce the risk of cardiovascular events are available, uncontrolled blood pressure and poor adherence continue to represent major clinical and public health challenges. The World Health Organization states that increasing the effectiveness of interventions that improve adherence can have a much greater impact on people’s health than the use of new medications. Non-adherence to prescribed antihypertensive treatment has a multifaceted and complex background, and there is wide variation among patients in the causes of non-adherence. Most interventions aim to improve individual factors and empower patients. The patient-physician relationship is often the most important component of treatment, even during periods of poor adherence or when patients transition from adherence to non-adherence over time.

Keywords

arterial hypertension, adherence, persistence, intervention, patient education, patient-physician relationship

Hrčak ID:

338516

URI

https://hrcak.srce.hr/338516

Publication date:

27.10.2025.

Article data in other languages: croatian

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