Mary Margaret Huizinga|Sara N. Bleich|Mary Catherine Beach|Jeanne M. Clark|Lisa A. Cooper
Disparity in Physician Perception of Patients' Adherence to Medications by Obesity Status
Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine
physician perception medication adherence may alter prescribing patterns perception patients linked readily observable factors race age obesity shares similar stigma factors society hypothesized physicians would perceive patients higher bmi nonadherent medication data collected baseline visit randomized clinical trial patientphysician communication 240 patients 40 physicians physician perception patient medication adherence measured likert scale dichotomized fully adherent fully adherent bmi predictor interest performed poisson regression analyses robust variance estimates adjusting clustering patients within physicians examine association bmi physician perception medication adherence mean sd bmi 326 77 kgm2 fortyfive percent patients perceived nonadherent medications physicians higher bmi significantly negatively associated perceived adherent medication prevalence ratio prr 076 95 confidence interval ci 064090 p 0002 per 10 kgm2 increase bmi bmi remained significantly negatively associated physician perception medication adherence adjustment patient physician characteristics prr 080 95 ci 066096 p 0020 study patients higher bmi less likely perceived adherent medications providers physician perception medication adherence shown affect prescribing patterns studies work needed understand perception may affect care patients obesity