Chronic polytherapy after myocardial infarction: the trade-off between hospital and community-based providers in determining adherence to medication.

ABSTRACT:

Background

The benefits of chronic polytherapy in reducing readmissions and death after myocardial infarction (MI) have been clearly shown. However, real-world evidence shows poor medication adherence and large geographic variation, suggesting critical issues in access to optimal care. Our objectives were to measure adherence to polytherapy, to compare the amount of variation attributable to hospitals of discharge and to community-based providers, and to identify determinants of adherence to medications.

Methods

This is a population-based study. Data were obtained from the information systems of the Lazio and Tuscany Regions, Italy (9.5 million inhabitants). Patients hospitalized with incident MI in 2010-2014 were analyzed. The outcome measure was medication adherence, defin

SUBMITTER: Di Martino M 

PROVIDER: S-EPMC8048349 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature