• Rev Assoc Med Bras (1992) · Jan 2021

    Clinician's perspective regarding medication adherence in patients with obstructive lung diseases and the impact of COVID-19.

    • Murat Yıldız, Funda Aksu, Nurdan Yıldız, and Kurtuluş Aksu.
    • University of Health Sciences, Ankara Atatürk Chest Diseases and Chest Surgery Education and Research Hospital, Department of Chest Diseases - Ankara, Turkey.
    • Rev Assoc Med Bras (1992). 2021 Jan 1; 67Suppl 1 (Suppl 1): 97-101.

    ObjectiveFailure to achieve high levels of medication adherence in obstructive lung diseases is a major cause of uncontrolled disease. The purpose of this study is to reveal clinicians' opinions on the level of patient adherence and the change in adherence during the COVID-19 pandemic.MethodsA questionnaire containing multiple-choice questions about treatment adherence in patients with obstructive lung diseases was voluntarily applied to doctors working in a tertiary hospital for chest diseases.ResultsEighty-one doctors (mean age, 37.2 years [standard deviation, 9.7 years]; 57 (70.4%) women) answered the questionnaires. Almost all clinicians participating in the study reported that they always or frequently asked patients if they adhered to treatment. Most clinicians think that in 20-50% of patients with asthma and less than 20% of patients with chronic obstructive pulmonary disease, a decrease in medication adherence appears in the first year of treatment. Most clinicians think the main reason for patients with obstructive lung diseases not adhering is patients' reluctance to be treated regularly. Regarding the impact of the COVID-19 pandemic on patients' drug adherence, 43.2% of clinicians observed that adherence increased after the start of the pandemic.ConclusionsAdherence to medication is not at the desired levels in patients with obstructive lung diseases. However, when faced with a serious health threat, such as the COVID-19 pandemic, patients realize the severity of their illness and begin using their treatments more regularly.

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