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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/183766
Initiation and Single Dispensing in Cardiovascular and Insulin Medications: Prevalence and Explanatory Factors
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: Background: Adherence problems have negative effects on health, but there is little information on the magnitude of non-initiation and single dispensing. Objective: The aim of this study was to estimate the prevalence of non-initiation and single dispensation and identify associated predictive factors for the main treatments prescribed in Primary Care (PC) for cardiovascular disease (CVD) and diabetes. Methods: Cohort study with real-world data. Patients who received a first prescription (2013-2014) for insulins, platelet aggregation inhibitors, angiotensin-converting enzyme inhibitors (ACEI) or statins in Catalan PC were included. The prevalence of non-initiation and single dispensation was calculated. Factors that explained these behaviours were explored. Results: At three months, between 5.7% (ACEI) and 9.1% (antiplatelets) of patients did not initiate their treatment and between 10.6% (statins) and 18.4% (ACEI) filled a single prescription. Body mass index, previous CVD, place of origin and having a substitute prescriber, among others, influenced the risk of non-initiation and single dispensation. Conclusions: The prevalence of non-initiation and single dispensation of CVD medications and insulin prescribed in PC in is high. Patient and health-system factors, such as place of origin and type of prescriber, should be taken into consideration when prescribing new medications for CVD and diabetes.
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VILAPLANA CARNERERO, Carles, AZNAR LOU, Ignacio, PEÑARRUBIA MARÍA, María teresa, SERRANO BLANCO, Antoni, FERNÁNDEZ-VERGEL, Rita, PETITBÒ-ANTÚNEZ, Dolors, GIL GIRBAU, Mª montserrat, MARCH PUJOL, Marian, MENDIVE, Juan manuel, SÁNCHEZ-VIÑAS, Alba, CARBONELL-DUACASTELLA, Cristina, RUBIO VALERA, Maria. Initiation and Single Dispensing in Cardiovascular and Insulin Medications: Prevalence and Explanatory Factors. _International Journal of Environmental Research and Public Health_. 2020. Vol. 17, núm. 10, pàgs. 3358. [consulta: 29 de gener de 2026]. ISSN: 1661-7827. [Disponible a: https://hdl.handle.net/2445/183766]