Table 3

Possible causes of non-adherence to the guidelines evaluated and transferral for analysis
Patient answer Transferred to Physician answer Transferred to
I do not know I do not know I do not know Falsely not indicated GP
I do not need it I do not need it Not indicated
I do not want it I do not want it Noncompliance Noncompliance
Avoidance of polypharmacy Avoidance of polypharmacy
Specialist did not prescribe it Falsely not indicated s/h*
I do not take it any more Adverse drug event Contraindication Contraindication
Falsely discontinued Patient does not take it anymore Adverse drug event
Falsely discontinued
(or one of the above) (or one of the above)
Other Allocation to one of the above Other Allocation to one of the above

* Falsely not indicated specialist / hospital (when a certain therapy was not initiated or recommended by specialists or physicians in the hospital, and the GP adhered to this recommendation even though in fact there was an indication for the drug).

Defined as a stop of treatment triggered by the physician despite guidelines recommending a continuation of the therapy (e.g. discontinuation of statin therapy after reaching target values for LDL-cholesterol which then rose above target again).

Fürthauer et al.

Fürthauer et al. BMC Family Practice 2013 14:47   doi:10.1186/1471-2296-14-47

Open Data