Abstract
The burden of cardiovascular disease (CVD) among New Zealand (NZ) indigenous people (Māori) is well recognized. A major challenge to CVD risk management is to improve adherence to long-term medications. To elicit patients' and providers' perspectives on how to support Māori with high CVD risk and low medication adherence to achieve better adherence. Analysis of electronic health records (EHR) of four NZ general practices identified medication adherence status of Māori patients with high CVD risk (≥15%, 5-year). A random sample of these patients participated in focus group discussions on barriers to long-term medication adherence. Their primary care providers also participated in separate focus groups on the same topic. A range of factors are identified influencing adherence behaviour, including patient's medication knowledge, patient-doctor communication effectiveness and cost. Analysis of barriers to medication adherence in primary care suggests opportunities for health information technology to improve adherence, including patient education, decision support, clinician training and self-service facilities.
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