The impact of doctor–patient communication on medication adherence and blood pressure control in patients with hypertension: a systematic review

作者：Jianwei Zeng, Yuqiang Gao, Chen Hou, Tao Liu · 发表于：PeerJ · 年份：2024 · DOI：10.7717/peerj.18527 · 被引用次数：21 · 研究领域：Medication Adherence and Compliance、Patient-Provider Communication in Healthcare、Blood Pressure and Hypertension Studies

Background: This systematic review aims to present existing evidence concerning the effects of doctor-patient communication on medication adherence and blood pressure control in hypertensive patients. Methods: Two researchers independently conducted comprehensive searches of five databases and screened relevant studies published from the inception of these databases up to July 21, 2024. The titles, abstracts, and full texts of all the retrieved articles subsequently underwent rigorous duplicate screening, according to predefined inclusion and exclusion criteria. We then synthesized the findings in a narrative format of the included studies. Finally, two researchers independently assessed study quality. Results: Eighteen observational studies encompassing 21,542 patients and seven randomized controlled trials with 2,804 patients were included in the systematic review. Diverse approaches were employed for evaluating doctor-patient communication and medication adherence in these studies, with identified themes including communication content and communication skills. Various facets of doctor-patient communication, including patient satisfaction with doctor-patient communication, the specific content discussed, the style of communication, the comprehensive communication skills of doctors, and the duration of these conversations, were scrutinized. In general, the results suggest a promising link between effective doctor-patient communication and increased medication adherence and ...