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A multinational cross-sectional survey of the management of patient medication adherence by European healthcare professionals
  1. Wendy Clyne1,
  2. Comfort Mshelia2,
  3. Sarah McLachlan3,
  4. Peter Jones4,
  5. Sabina de Geest5,6,
  6. Todd Ruppar7,
  7. Kaat Siebens6,
  8. Fabienne Dobbels6,
  9. Przemyslaw Kardas8
  1. 1Faculty of Health and Life Sciences, Coventry University, Coventry, UK
  2. 2Leeds Institute of Health Sciences, Leeds University, Leeds, UK
  3. 3King's College, London, UK
  4. 4Institute of Science and Technology in Medicine, Keele University, Keele, UK
  5. 5Institute of Nursing Science, University of Basel, Switzerland
  6. 6Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium
  7. 7Sinclair School of Nursing, University of Missouri, Columbia, USA
  8. 8First Department of Family Medicine, Medical University of Lodz, Lodz, Poland
  1. Correspondence to Dr Wendy Clyne; wendy.clyne{at}


Objectives To examine which interventions healthcare professionals use to support patients with taking medicines and their perceptions about the effectiveness of those actions.

Design Cross-sectional multinational study.

Setting Online survey in Austria, Belgium, England, France, Germany, Hungary, The Netherlands, Poland, Portugal and Switzerland.

Participants A total of 3196 healthcare professionals comprising doctors (855), nurses (1047) and pharmacists (1294) currently registered and practising in primary care and community settings.

Main outcome measures Primary outcome: Responses to the question ‘I ask patients if they have missed any doses of their medication’ for each profession and in each country.

Secondary outcome: Responses to 50 items concerning healthcare professional behaviour to support patients with medication-taking for each profession and in each country.

Results Approximately half of the healthcare professionals in the survey ask patients with long-term conditions whether they have missed any doses of their medication on a regular basis. Pharmacists persistently report that they intervene less than the other two professions to support patients with medicines. No country effects were found for the primary outcome.

Conclusions Healthcare professionals in Europe are limited in the extent to which they intervene to assist patients having long-term conditions with medication adherence. This represents a missed opportunity to support people with prescribed treatment. These conclusions are based on the largest international survey to date of healthcare professionals’ management of medication adherence.

  • GENERAL MEDICINE (see Internal Medicine)

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