rpcardioRational Pharmacotherapy in CardiologyРациональная Фармакотерапия в Кардиологии1819-64462225-3653«SILICEA-POLIGRAF» LLC10.20996/1819-6446-2015-11-6-618-625rpcardio-442Research ArticlePAGES OF RUSSIAN NATIONAL SOCIETY OF EVIDENCE-BASED PHARMACOTHERAPYСТРАНИЦЫ НАЦИОНАЛЬНОГО ОБЩЕСТВА ДОКАЗАТЕЛЬНОЙ ФАРМАКОТЕРАПИИAnalysis of the problem of low adherence of patients to attendance at outpatient clinics and cardiorehabilitation programs according to the data from published studiesАНАЛИЗ ПРОБЛЕМЫ НИЗКОЙ ПРИВЕРЖЕННОСТИ ПАЦИЕНТОВ К ПОСЕЩЕНИЮ АМБУЛАТОРНЫХ УЧРЕЖДЕНИЙ И ПРОГРАММ КАРДИОРЕАБИЛИТАЦИИ ПО ДАННЫМ ОПУБЛИКОВАННЫХ ИССЛЕДОВАНИЙСеменоваЮ. В.SemenovaYu. V.

аспирант ГНИЦПМ

YSemenova@gnicpm.ruКутишенкоН. П.KutishenkoN. P.

д.м.н., зав. лабораторией фармакоэпидемиологических исследований отдела профилактической фармакотерапии ГНИЦПМ

МарцевичС. Ю.MartsevichS. Yu.

д.м.н., профессор, руководитель отдела профилактической фармакотерапии ГНИЦПМ

Государственный научно-исследовательский центр профилактической медицины 101990, Москва, Петроверигский пер., 10РоссияState Research Centre for Preventive Medicine. Petroverigsky per. 10, Moscow, 101990 RussiaRussian Federation201530122015116618625Copyright © Semenova Y.V., Kutishenko N.P., Martsevich S.Y., 20152015Семенова Ю.В., Кутишенко Н.П., Марцевич С.Ю.Semenova Y.V., Kutishenko N.P., Martsevich S.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpcardio.online/jour/article/view/442

The aim of this review was to study a problem of outpatient non-attendance by the analysis of relevant literature data. Pubmed and Cyberlenica articles and abstracts, published in 1966-2015, concerning the problem of non-attendance at outpatient clinics and cardiac rehabilitation programs, were used as data sources. The search included articles that reviewed the prevalence of outpatient non-attendance, reasons for it, it’s effect on disease outcomes and search for possible ways of its correction. The problem of patients’ non-attendance at outpatient clinics and cardiac rehabilitation programs is urgent in many countries and depends on various factors. This problem is best studied from a perspective of its causes. Factors related to the patient himself play the major role, although the influence of factors related to hospital and doctor’s characteristics also significantly contribute to the problem. Various methods to improve attendance were suggested. Causes that can be effected by the patient himself or by the doctor at visits: forgetfulness, lack of awareness and motivation. There are few studies that evaluate the effect of non-attendance on medication adherence and outcomes of diseases. Non-attendance at healthcare clinics is a common and urgent issue all over the world. It can affect medication adherence, which is crucial for a long-term regular primary and secondary preventive therapy of cardiovascular diseases. Study of non-attendance at healthcare clinics is an important scientific and clinical problem.

Целью данного обзора было изучение проблемы низкой приверженности пациентов к посещению амбулаторных учреждений на основании анализа данных литературы. Источниками данных явились статьи и абстракты на тему низкой приверженности пациентов к посещению амбулаторных учреждений и программ кардиореабилитации, вошедшие в единую базу данных сайтов PubMed и Cyberlenica за 1966-2015 гг. Рассматривались публикации на тему распространенности низкой приверженности пациентов к посещению амбулаторных учреждений, вызывающих ее причин, ее влияния на исходы заболеваний и поиска возможных способов ее коррекции. Проблема низкой приверженности пациентов к посещению амбулаторных учреждений и курсов кардиореабилитации является актуальной в разных странах и зависит от множества факторов. Наиболее изучена эта проблема в контексте причин, ее вызывающих. Основную роль играют факторы, связанные с самим пациентом, но и влияние факторов, связанных с медицинским учреждением и врачом, также вносят существенный вклад. Предложены разные способы повышения приверженности пациентов к посещению амбулаторных учреждений. Причины низкой приверженности, на которые может воздействовать либо сам пациент, либо врач в ходе общения с пациентом: забывчивость, недостаточная информированность и мотивация. Небольшое количество работ проведено на тему изучения влияния низкой приверженности пациентов к посещению амбулаторных учреждений на их приверженность к медикаментозной терапии и исходы заболеваний. Низкая приверженность больных к посещению лечебных учреждений – проблема распространенная и актуальная во всем мире. Она может оказывать влияние на приверженность к медикаментозной терапии, что особенно значимо в отношении длительной регулярной первичной и вторичной медикаментозной профилактики сердечно-сосудистых заболеваний. Изучение вопроса низкой приверженности пациентов к посещению лечебных учреждений является актуальной научной и практической проблемой.

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The authors declare that there are no conflicts of interest present.