Adherence to health regimens among frequent attenders of Finnish healthcare

International Journal of Circumpolar Health

Juha Korpelainen¹  Outi Kanste²  Sari Hirsikangas³  Helvi Kyngäs⁴ 

[1] Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland;National Institute for Health and Welfare, Oulu, Finland;Oulu University Hospital, Oulu, Finland;Research Group of Nursing Science and Health Management, University of Oulu, Oulu, Finland;

关键词: adherence;    frequent attender;    health regimen;    chronic disease;   

DOI  :  10.3402/ijch.v75.30726

来源: DOAJ

【 摘 要 】

Objectives: The aim of the study was to describe adherence to health regimens and the factors associated with it among adult frequent attenders (FAs). Design: This was a cross-sectional study. The study sample consisted of 462 healthcare FAs in 7 municipal health centres in northern Finland. An FA is a person who has had 8 or more outpatient visits to a GP (in a health centre) or 4 or more outpatient visits to a university hospital during 1 year. The main outcome was self-reported adherence to health regimens. Results: Of the FAs, 82% adhered well to their health regimens. Carrying out self-care, medical care and feeling responsible for self-care were the most significant predictors to good adherence in all models. No significant differences in adherence were found in male and female subjects, age groups or educational levels. Support from healthcare providers and support from relatives were not significant predictors of good adherence. Conclusion: FAs in Finland adhere well to health regimens and exceptionally well to medication. Variables that predict the best adherence of FAs to health regimens are carrying out self-care, receiving medical care and feeling responsible for self-care.

【 授权许可】

Unknown