Suchergebnisse

Patient factor such as older age is one of the key factors that influence medication adherence. The number of people over 65 years of age is increasing in Serbia and thus the number of patients with chronic conditions which leads to increased number of medication used. The study about the medication use in Serbian patients over 65 years was a part of the European Union's Horizon 2020 EuroAgeism project. The questionnaire used for this study was designed by the main research institution Charles University, Faculty of Pharmacy in Hradec Kralove. The study included 450 patients over 65 years. Patients were recruited by pharmacists and data were collected in community pharmacies in three cities located in geographically different regions in Serbia (150 patients from each city). The self-reported medication adherence was estimated as a percentage value, from 0% as non-adherent to 100% as total adherent patient. Most of the patients were female (59.1%) and was old in average 73.0 years (SD=6.9, Range: 65-93). The average number of prescribed medications was 5.0 (SD=2.7, Range:1-14, Med=5) and the most prevalent was cardiovascular disease (89.1%). The average value of self-reported medication adherence was 92.4% (SD=13.4). The most common reasons for non–adherence were forgetfulness (55.8%), fear of side effects/addiction because of taking too many medications (11.0%), high price (8.7%), and complexity of medication regimen (8.7%). Correlation between number of drugs and adherence value was positive, but not statistically significant (ρ=0.06, p>0.05). This study has confirmed that older patients tend to take multiple medications in a day. Even though our expectation was that more drugs would affect medication adherence, the correlation was not statistically significant. Since forgetfulness is the most common cause of non-adherence, community pharmacists should remind patients more about the proper medication use.

Poor adherence to efficacious cardiovascular related medications has led to considerable morbidity, mortality, and avoidable health care costs. This paper provides results of a recent think tank meeting in which various stakeholder groups representing key experts from consumers, community health providers, the academic community, decision-making government officials (FDA, NIH, etc), and industry scientists met to evaluate the current status of medication adherence and provide recommendations for improving outcomes. Below, we review the magnitude of the problem of medication adherence, prevalence, impact, and cost. We then summarize proven effective approaches and conclude with a discussion of recommendations to address this growing and significant public health issue of medication non adherence.

Purpose. To explore the relationships of selected health behaviors to medication adherence. Design. A retrospective cohort study. Setting. Data from Korean national health insurance claims between January 2010 and June 2011. Subjects. Patients aged 65 years and older with hypertension (N = 662,170), hyperlipidemia (N = 244,702), or diabetes (N = 179,285). Measures. Medication adherence as a medication possession ratio from January to June 2011 as a dependent variable. The waist circumference (cm) and the body mass index (weight in kilogram divided by height in meter squared) as a marker for obesity. Smoking, drinking, and physical activity as main independent variables. Analysis. A multivariate logistic regression. Results. Nonobese patients, as based on the waist circumference, were more likely to adhere to their medication (by 8.9% for hypertension, 6.2% for diabetes, and 3.5% for hyperlipidemia). Current smokers were less likely to adhere to their medication (by 8.7% for hypertension and 6.8% for diabetes), and moderate and heavy drinkers were also less likely to show medication adherence for diabetes (by 12.9% and 6.4%). Mild physical activity was related to a 1.1% to 1.8% increase in the likelihood of medication adherence across the three disease groups. Conclusion. Health promotion programs for self-care health behaviors of elderly patients should emphasize good medication adherence to achieve successful self-management of diseases.

Introduction Caring for chronic pediatric endocrine disorders commonly require long-term use of pharmacotherapy. Although these medications are effective in combating disease, their real benefits are often not achieved because of non-adherence. Health care professionals must be aware to the high prevalence of noncompliance which contributes to increased morbidity and medical complications, poorer quality of life and an overuse of the health care system and increase health care costs. Methods In order to better understand the factors contributing to noncompliance in our patient population, we performed a cross -sectional study along with medical chart review. We randomly selected 30 endocrine charts with chronic disorders and reviewed documentation of the need for medications, type of the visit, dose, duration, plan, patient compliance and refill follow up. Special attention was made if the physicians documented discussing the possible side-effects of the medication. An anonymous survey was handed to the parents at the end of visit and form was dropped in a locked box. No personal information or identification was collected. Parents were inquired about their understanding of the need for medication, side effects, compliance and the reason for poor compliance if they met the criteria. The chart reviewed showed that 47% of the patients reported poor compliance to physician during visit but when asked during the survey only 22 % reported poor compliance. 58% of the patients reported not knowing the possible side-effects of the medications. Reasons for non-compliance given by patients were 58% concerned about side effects of medication, refill not provided 4.8%, forgetting to take medication 2.4%, cost 2.4%, and language barrier 2.4%. Other 30% didn't provide a specific reason for poor compliance. Conclusion Rates of medication adherence in pediatric patient with chronic medical illness range from 11% to 93%, with an estimated average of around 50%. Our population compliance correlates with the national average for ...

This Project is aimed at proposing a device which does the work of reminding patients with chronic but curable diseases, to take their medicines every day. A large number of people succumb to diseases which are curable due to negligence of adherence to medicines, especially in rural areas of India where the awareness and importance of adherence of medicines is not known. To evade that, the Government of India has come up with a number of plans and schemas. Yet, they fail to give a successful outcome at some point. Therefore, this paper aims to overcome the cons of the existing system and propose a new idea to make sure that all patients especially the old age ones adhere to the medicine regimen that they have been prescribed. If that happens successfully, it might lead to complete eradication of diseases which are completely curable, and hence are not passed on to the upcoming generations Manan Abhay Kumar | Sahana S | Soumya K. N | C. R. Manjunath "Medication Adherence of TB Patients using IoT" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-4 , June 2018, URL: https://www.ijtsrd.com/papers/ijtsrd13049.pdf

Adhering to a prescribed course of medication can be problematic for patients who take multiple prescriptions to manage chronic illnesses. This study explored the prevalence of medication adherence among patients in a cardiology ambulatory care setting using a survey-based, descriptive-comparative design. We begin this article by reviewing the medication adherence challenge. Next we describe our research method, which utilized the Morisky Medication Adherence Scale (MMAS-8©) and Medication Regimen Complexity Index (MRCI), to collect the data. Our results showed that the MMAS-8© scores of participants indicated 'low adherence.' A positive correlation was found between older age (>65 years) and remembering to take medications. MRCI scores were in the moderate range. Patients 65 years and older reported remembering their medications more frequently than younger patients. We also discuss our results and study limitations, and consider implications for research and practice. The conclusion suggests that medication adherence remains a significant problem. Clinicians in ambulatory care need to address the challenge of non-adherence. Although rigorous interventions are needed to promote adherence for all age patients, an emphasis on the younger population may be necessary.

Abstract Introduction: Tuberculosis is a major problem in the world which is need a focus treatment, particularly to prevent the spread and development of drug-resistant cases. Tuberculosis drug supervisor plays an important role in realizing government's program "Indonesia without Tuberculosis in 2020". The purpose of this study was to provide information about the correlation of drug supervisor activeness with motivation and medication compliance. Method: This study was a cross sectional approach. The population was patients who underwent pulmonary TB treatment in Puskemas (Public Health Center) Pare and Sidorejo. The respondent were 35 patient taken by purposive sampling. The independent variable was the activeness of the drug supervisor, while the dependent variable was motivation and Tuberculosis medication adherence. Collecting data used questionnaire and was analyzed using Chi Square statistical tests with significance at level <0.05. Result: Statistical results showed significant correlations between the drug supervisor activeness with the patient's motivation (p=0.000) and adherence to ingest drugs Pulmonary Tubercoluse (p=0.001); either between motivation and adherence to ingest drugs Pulmonary Tubercoluse (p=0.011). Discussion: Drug supervisor has to actively motivate patient with tuberculosis in order to increase their medication adherence. Health care unit could enhance the drug supervisor activeness and patient's motivation in order to prevent the spread of tuberculosis. Keywords: pulmonary tuberculosis, drug supervisor activeness, motivation, and medication adherence

Background: Drug therapy and adherence to the medication is critical to prevent complications of hypertension and more importantly in countries like Nepal where more than one quarter adults suffer from it. Primary aim was to measure adherence to anti-hypertensive medication and factors associated with low adherence.Methods: Morisky Medication Adherence Scale was used for measuring medication adherence and a structured questionnaire for measuring background and illness related factors in a cross-sectional study among 216 hypertensive patients in a tertiary care hospital selected through sequential sampling. Data was analysed using descriptive and inferential statistics and results presented with proportion or odds ratio with 95% CI.Results: It was found that 72% of the patients had low adherence to anti-hypertensive medication, with sub-group differences notably higher among females (77%); among those with co-morbidity (80%); and among those getting medicines free of cost (76%). Post multivariate logistic regression, it was found that patients with co-morbidity had higher odds of having low adherence (Adjusted Odds Ratio – AOR: 2.50; 95%CI:1.28-4.89) than those without; and those who get medicine free of cost had higher odds of having low adherence (AOR: 3.01; 95%CI:1.32-6.86) than those who pay for medicine.Conclusions: A substantial proportion of hypertensive patients had low adherence to medication. Presence of co-morbidity, getting medicine free of cost, and not having regular follow up were the major factors associated with low adherence to anti-hypertensive medication. Targeted interventions in hospitals and health care centers in Nepal would improve medication adherence. Keywords: Adherence; hypertension; hypertensive patients; medication; Nepal.