Case Study. Managing Medication and Adherence in SIHD: Partnering With the Patient to Improve Care.

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Presentation transcript:

Managing Medication and Adherence in SIHD: Partnering With the Patient to Improve Care

Case Study

Clinical Questions

Angina in Men and Women ≥ 20 Years

SIHD Guidelines

SIHD Guideline Recommendations: Patient Education

SIHD Guideline Recommendations: Patient Education

Guidelines Recommendations: Risk Factor Modification

SIHD Guidelines Recommendations: Risk Factor Modification

SIHD Guidelines: Strategies of Unproven Benefit for Reduction of MI/Death

Case Study

SIHD Guidelines: Antianginal Therapy

Case Study (cont)

Case Study (cont)

Discontinuation of Medications at 12 Months

Adherence to Evidence-Based Cardiovascular Drugs

Nonadherence at Median 4.1 Years

Case Study (cont)

Definitions

C. Everett Koop, MD

Patient Issues

Provider Issues

Meta-analysis and Systematic Reviews of Medication Adherence and Persistence in Cardiovascular Disease

Informational Interventions to Promote Medication Adherence and Persistence

Behavioral Interventions

Strategies to Promote Treatment Adherence and Persistence

Case Study (cont)

Case Study (cont)

Abbreviations

References

References (cont)

References (cont)