Full Record

New Search | Similar Records

Author
Title An investigation of dialysis patients' medication compliance and the relationship of physician ordering practices
URL
Publication Date
Degree MS
Discipline/Department Health Sciences
Degree Level masters
University/Publisher Eastern Michigan University
Abstract In-center dialysis patients have multiple physicians involved in their care related to complications of end stage renal disease and the start of dialysis. This study reviewed the number of physicians involved in the participants’ (n=41) care and determined if it was associated with medication compliance and additionally assessed the in-center dialysis facility staff’s ability to keep up-to-date home medication orders. Participant interviews, home medication reviews, and reconciliations were completed. The average number of medications ordered per participant was 11.58, and 37% of all medications ordered needed corrections made to the home medication orders. The average number of physicians per participant was 3.66, and 66% of participants reported noncompliance with some part of their medication regime. Results showed no correlation between the number of physicians involved in participants’ care and medication compliance. Participants with a higher number of medications had lower compliance.
Subjects/Keywords compliance; dialysis; drugs; nephrology; Medicine and Health Sciences
Contributors Alice Jo Rainville, PhD, RD, CHE, SNS, Chair; Janie Kane, MEd, RD, LDN
Rights Open Access Thesis
Country of Publication us
Record ID oai:commons.emich.edu:theses-1856
Repository emich
Date Retrieved
Date Indexed 2020-01-02
Created Date 2013-03-18 07:00:00

Sample Search Hits | Sample Images

…adherence to medication regimens have accounted for worsening of disease states, death, and increased health care costs.5,6,7 This has led to increased morbidity and mortality, higher health care costs, and a failure of many people with chronic illness to…

Health and Human Services Kidney and Urologic Diseases Statistics1 in 2008 these causes of ESRD included the following: diabetes accounting for 205,724, hypertension accounting for 133,537, glomerulonephritis accounting for 83,268, cystic kidney…

…ESRD patients may have multiple 3 physicians and health care professionals involved in their overall care including nephrologists, endocrinologists, oncologists, gastroenterologists, and cardiologists to name a few. Additionally, ESRD contributes to…

…it may become difficult for patients to keep up with their medication regime. Many factors can contribute to non-adherence with medication regimes. These include but are not limited to financial cost and insurance coverage20, health beliefs, dosage…

…clinical trial: predictors and outcomes. Value Health. 2003; 6: 566-73. 9. Waeber B, Leonetti G, Kolloch R, McInnes GT. Compliance with aspirin or placebo in the Hypertension Optimal Treatment (HOT) study. J Hypertens. 1999; 17: 1041-5. 10…

…Raybon SJ, Bates DW. Practical approach to determining costs and frequency of adverse drug events in a health care network. Am J Health Syst Pharm 2001; 58: 1126-32. 15. Levy G, Zamacona MK, Jusko WJ. Developing compliance instructions for drug labeling…

…of interventions to improve medication adherence. AM J Health-Syst Pharm. 2003; 60: 657-65. 18. Harold J. Manley, Steven Wang, Allen R. Nissenson. DaVita Inc., Denver CO Medication Non-Adherence Predicts Hospitalization Rate and Healthcare Costs in…

.