Quality of healthcare can explain nearly 20% of non-adherence to heart failure guidelines

2 September 2014

A new study has suggested that GPs and other medical staff could have a key impact on how likely it is that patients adhere to guidelines after suffering chronic heart disease.

Research, conducted by the European Society of Cardiology (ESC) and the Organisation for Economic Co-operation and Development (OECD), has found that health structures explain nearly 20 per cent of the non-adherence to heart failure guidelines.

The study, presented at the ESC Congress by Professor Aldo Maggioni, found that clinical variables explained more than 80 per cent of non-adherence. More than 5,000 patients who had chronic heart failure were included in the research, which found non-adherence to drug treatment in nearly 25% of patients, though there was large variation between and within countries. 

When the researchers analysed each health structure characteristic individually, they found that resources, payment and quality variables were strongly linked to adherence. For example, they found that where more GPs were available, adherence to guidelines was higher.

Professor Maggioni said: "Our analysis shows that it is not only clinical factors that influence whether or not guidelines are implemented. Countries that have a specific programme to implement guidelines and that pay for them to be followed have a statistically significantly better adherence to recommended treatments."

Posted by Jeanette Royston


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