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Heart Failure Congress 2009 presentation
01 Jun 2009

Non adherence to medication: scope of the problem and predictors 

Webcasts available

Martje Van der Wal 

Martje Van der Wal
Topics: Heart Failure (HF)
Session number: 983
Session title: Pills don't work if patients don't take them
Authors: Van der Wal, Martje (Groningen, NL)

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Asking health care providers about adherence of their own patients, many will admit that they never talk about this subject. However, non-adherence with medication is a major problem in chronically ill patients and also in patients with heart failure.
It is probably one of the big issues in improving outcome in heart failure patients.
In this presentation, an overview will be given of the scope of the problem of non-adherence with medication in heart failure patients. Meanwhile, the 5 dimensions of adherence as formulated in the WHO report 'Adherence to long-term therapy; evidence for action' will be used to highlight the most important predictors of non-adherence.

Teaching objective of the lecture:

  • to make health care providers aware of the scope of the problem of non-adherence to medication in heart failure patients
  • to give insight in the multi-dimensional problem and predictors of adherence

Take home messages:

  • non-adherence is a big problem, also in your heart failure patients
  • a simple medication regimen is not enough to improve adherence
  • non-adherence can be - partly – influenced
  • improvement of adherence is a major challenge in improving outcomes in heart failure patients


The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.