Assessment of prescriber adherence to guideline-directed medical therapy for heart failure at Jimma Medical Center, Ethiopia.

ABSTRACT:

Background

Heart failure with reduced ejection fraction (HFrEF) requires guideline-directed medical therapy (GDMT) to reduce morbidity and mortality. However, adherence to GDMT is often suboptimal in resource-limited settings, such as the Jimma Medical Center, Ethiopia.

Objectives

To assess prescriber adherence to guideline-based medical therapy in heart failure at Jimma Medical Center, Ethiopia.

Methods

A convergent mixed-methods study was conducted from December 2023 to April 2024, enrolling 215 adult HFrEF patients. Prescriber adherence was measured using the Guideline Adherence Index (GAI) and QUALIFY scores. Semi-structured interviews with physicians explored the qualitative factors that affect adherence. Multinomial logistic regression identified the factors ass

SUBMITTER: Tarekegn GY 

PROVIDER: S-EPMC12743505 | biostudies-literature | 2026 Mar

REPOSITORIES: biostudies-literature