Journal
PATIENT PREFERENCE AND ADHERENCE
Volume 11, Issue -, Pages 547-559Publisher
DOVE MEDICAL PRESS LTD
DOI: 10.2147/PPA.S127277
Keywords
cardiovascular disease; medication adherence; self-management; electronic monitoring; integrated care; collaborative care; compliance
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Many individuals with cardiovascular disease (CVD) experience depression that is associated with poor health outcomes, which may be because of medication nonadherence. Several factors influence medication adherence and likely influence the relationship between depression and medication adherence in CVD patients. This comprehensive study reviews the existing literature on depression and medication adherence in CVD patients, addresses the methods of and problems with measuring medication adherence, and explains why the integrated care team is uniquely situated to improve the outcomes in depressed CVD patients. This paper also explores how the team can collaboratively target depressive symptoms and medication-taking behavior in routine clinical care. Finally, it suggests the limitations to the integrated care approach, identifies targets for future research, and discusses the implications for CVD patients and their families.
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