The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study

Ron D. Hays; Richard L Kravitz; Rebecca M. Mazel; Cathy Donald Sherbourne; M. Robin DiMatteo; William H. Rogers; Sheldon Greenfield

doi:10.1007/BF01858007

The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study

Ron D. Hays, Richard L Kravitz, Rebecca M. Mazel, Cathy Donald Sherbourne, M. Robin DiMatteo, William H. Rogers, Sheldon Greenfield

General Medicine, Geriatrics, and Bioethics

Research output: Contribution to journal › Article

128 Scopus citations

Abstract

The association between adherence to medical recommendations and health outcomes (physical, role, and social functioning, energy/fatigue, pain, emotional well-being, general health perceptions, diastolic blood pressure, and glycohemoglobin) was examined in a 4-year longitudinal, observational study of 2125 adult patients with chronic medical conditions (hypertension, diabetes, recent myocardial infarction, congestive heart failure) and/or depression. Change score models were evaluated, controlling for disease and comorbidity. Patient adherence was associated minimally with improvement in health outcomes in this study. Only 11 of 132 comparisons showed statistically significant positive effects of adherence on health outcomes. We conclude that

Original language	English (US)
Pages (from-to)	347-360
Number of pages	14
Journal	Journal of Behavioral Medicine
Volume	17
Issue number	4
DOIs	https://doi.org/10.1007/BF01858007
State	Published - Aug 1994

ASJC Scopus subject areas

Clinical Psychology
Psychology(all)

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Hays, R. D., Kravitz, R. L., Mazel, R. M., Sherbourne, C. D., DiMatteo, M. R., Rogers, W. H., & Greenfield, S. (1994). The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study. Journal of Behavioral Medicine, 17(4), 347-360. https://doi.org/10.1007/BF01858007

The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study. / Hays, Ron D.; Kravitz, Richard L; Mazel, Rebecca M.; Sherbourne, Cathy Donald; DiMatteo, M. Robin; Rogers, William H.; Greenfield, Sheldon.

In: Journal of Behavioral Medicine, Vol. 17, No. 4, 08.1994, p. 347-360.

Research output: Contribution to journal › Article

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