Improve physician adherence to high-intensity statin in the secondary prevention of acute coronary syndrome

Abstract

Statin therapy is critical in reducing morbidity and mortality associated with cardiovascular disease. However, prescribed statins are only effective if patients take them regularly, a process known as medication adherence. Patient factors, physician factors, and health system factors all influence patient adherence to statin therapy, with interactions between the categories common. Physician factors include the doctor's adherence to guideline recommendations, office visits, and interactions with patients. A prospective interventional study was conducted in Iraq, Al-Muthanna Governorate, Al-Hussein Teaching Hospital during the period from October 2021 to March 2022. A convenient sampling method was adapted to enrol the participants in the current study which included two groups including the intervention and control group. In the intervention group, the researcher sought to use an educational program, mediated by clinical pharmacists, to improve physician adherence to secondary prevention of acute coronary syndrome in hospitalized patients at discharge. Regarding the prescription of statin to patients with age of <75 years, there was no significant difference between the study groups at the first visit after discharge in group A and after intervention in group B.