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Rev Clin Esp. 1998 Oct;198(10):669-72.

[Non-compliance with scheduled appointments in hypertensive patients: profile of the non-compliant patient].

[Article in Spanish]

Author information

1
Departamento de Medicina, Universidad Miguel Hernández, Alicante.

Abstract

OBJECTIVE:

To know the non-compliance of hypertensive patients with scheduled visits, to define the patient profile, and to study the best method which identifies such patients.

PATIENTS AND METHODS:

A total of 174 hypertensive patients under pharmacological therapy in the Primary Care setting. Non-compliance with scheduled visits was assessed by review of the appointment book. The characteristics of patients, of the disease, and therapy associated with non-compliance were studied and six indirect methods were validates.

RESULTS:

The profile of the non-compliant patient corresponded to a housewife or with working activity (p = 0.01), obesity (p = 0.01), anxiety (p = 0.008), moderate-severe cardiovascular risk (p = 0.02), bad control of blood pressure values (p = 0.03), and physician's dependence (p = 0.001). Of the investigated methods, education level (EL) had the highest sensitivity (77.8%) (CI: 65.7%-89.9%) and medical judgement (MJ) the highest specificity (87.6; CI: 81.9%-93.3%), negative predictive value 80.1%, positive predictive value 51.5%, odds ratio of low compliance 3.1 and best Kappa index 0.28.

CONCLUSIONS:

Factors predicting non-compliance are few but delineate a possible profile. Only MJ is valid to detect non-compliance with scheduled visits.

PMID:
9844456
[Indexed for MEDLINE]

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