[GP1] A relevant issue for the participating physicians was the balance between 'cookbook medicine' by a high adherence to the pathway's recommendations and an individual treatment of the patient.
The balance between "cookbook medicine" - marked by a high adherence to the guideline's recommendations - and individual treatment of the patient was an essential point for the interviewed physicians.
"Among cognitively healthy older adults, we were able to detect an association between higher adherence to a Mediterranean type diet and better brain measures," Gu said. .
While not a primary outcome of this study, this subgroup analysis showed a trend between higher adherence and larger decreases in HbA1c values.
Utilizing process measures in conjunction with risk-adjusted outcomes may also be used for quality improvement, as some research has documented an association between higher adherence to care guidelines and better outcomes of patients who receive that care [ 23, 24].
In the main trial analysis, both outcomes showed a difference between groups, with higher adherence and lower HbA1c in the electronic container group, but the differences were not statistically significant (p = 0.11 and p = 0.25, respectively; Table 3).
Given the observed effect between higher adherence and improved outcomes, it may be more important to provide exercise-based cardiac rehabilitation programs which focus on achieving increased adherence to the exercise intervention.
In contrast, the levels of dietary antioxidants were not associated with physical health and thus failed to explain the observed relationship between higher adherence to MD and better self-reported physical status.
18 19 In the wake of this evidence, we sought to examine whether the positive relationship between higher adherence to MD patterns and highest HRQL could be accounted for by the total antioxidant content from diet or by other compounds such as monounsaturated or polyunsaturated fatty acids or dietary fibre.
16 In RA, Neame and Hammond 21 have shown that the BMQ concern scale distinguished between low and higher adherence (MARS), whereas the necessity scale was shown to be correlated with the number of DMARDs and adherence.
