Medication adherence, recall periods and factors affecting it: A community‐based assessment on patients with chronic diseases in urban slums

2021 ◽  
Author(s):  
Shubham Atal ◽  
Avik Ray ◽  
Shah Newaz Ahmed ◽  
Pooja Singh ◽  
Zeenat Fatima ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Chronic Diseases ◽  
Urban Slums ◽  
Community Based ◽  
Factors Affecting

scholarly journals Factors affecting medication adherence in Lebanese patients with chronic diseases

2015 ◽  
Vol 13 (3) ◽  
pp. 590 ◽  
Author(s):  
Amal Al-Hajje ◽  
Sanaa Awada ◽  
Samar Rachidi ◽  
Salam Zein ◽  
Wafa Bawab ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Chronic Diseases ◽  
Factors Affecting

Medication Adherence and Patients’ Characteristics in Chronic Diseases: A National Multi-Center Study

2021 ◽  
pp. 105477382110337
Author(s):  
Huda Al-Noumani ◽  
Maryam Al-Harrasi ◽  
Jimmy Jose ◽  
Zakariya Al-Naamani ◽  
Sathiya M. Panchatcharam
Keyword(s):  
Logistic Regression ◽  
Medication Adherence ◽  
Chronic Diseases ◽  
Cross Sectional Study ◽  
Improve Medication Adherence ◽  
Cross Sectional ◽  
Factors Affecting ◽  
High Adherence ◽  
Multi Center Study ◽  
The Individual

Chronic diseases constitute a significant threat to health. Worldwide, medication adherence in chronic diseases remains unsatisfactory. Understanding factors affecting adherence is essential. This study examined medication adherence by characteristics of patients with chronic diseases. This cross-sectional study included 800 patients. The Adherence to Chronic Diseases Scale was used to measure adherence. Descriptive statistics and logistic regression was used to examine factors influencing medication adherence. Low adherence was found in 19.5% of the patients, 45% had medium adherence, and 35.5% had high adherence. Logistic regression showed that retired ( OR 0.496, 95% CI [0.33–0.75]), having COPD ( OR 0.460, 95% CI [0.32–0.67]) and duration of disease ≤5 years ( OR 1.554, 95% CI [1.11–2.17]) remain independent predictors for high adherence. Mixed findings regarding the relationship between medication adherence and patients’ characteristics were noticed. Patients’ characteristics should be examined with the individual population when examining and attempting to improve medication adherence in clinical practice.

scholarly journals Economic burden of childhood diarrhea in Burundi

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Fulgence Niyibitegeka ◽  
Arthorn Riewpaiboon ◽  
Sitaporn Youngkong ◽  
Montarat Thavorncharoensap
Keyword(s):  
Economic Burden ◽  
Cost Model ◽  
Primary Treatment ◽  
Management Program ◽  
Community Based ◽  
Factors Affecting ◽  
Hospitalization Costs ◽  
Illness Study ◽  
The Cost ◽  
Substantial Economic Burden

Abstract Background In 2016, diarrhea killed around 7 children aged under 5 years per 1000 live births in Burundi. The objective of this study was to estimate the economic burden associated with diarrhea in Burundi and to examine factors affecting the cost to provide economic evidence useful for the policymaking about clinical management of diarrhea. Methods The study was designed as a prospective cost-of-illness study using an incidence-based approach from the societal perspective. The study included patients aged under 5 years with acute non-bloody diarrhea who visited Buyenzi health center and Prince Regent Charles hospital from November to December 2019. Data were collected through interviews with patients’ caregivers and review of patients’ medical and financial records. Multiple linear regression was performed to identify factors affecting cost, and a cost model was used to generate predictions of various clinical and care management costs. All costs were converted into international dollars for the year 2019. Results One hundred thirty-eight patients with an average age of 14.45 months were included in this study. Twenty-one percent of the total patients included were admitted. The average total cost per episode of diarrhea was Int$109.01. Outpatient visit and hospitalization costs per episode of diarrhea were Int$59.87 and Int$292, respectively. The costs were significantly affected by the health facility type, patient type, health insurance scheme, complications with dehydration, and duration of the episode before consultation. Our model indicates that the prevention of one case of dehydration results in savings of Int$16.81, accounting for approximately 11 times of the primary treatment cost of one case of diarrhea in the community-based management program for diarrhea in Burundi. Conclusion Diarrhea is associated with a substantial economic burden to society. Evidence from this study provides useful information to support health interventions aimed at prevention of diarrhea and dehydration related to diarrhea in Burundi. Appropriate and timely care provided to patients with diarrhea in their communities and primary health centers can significantly reduce the economic burden of diarrhea. Implementing a health policy to provide inexpensive treatment to prevent dehydration can save significant amount of health expenditure.

scholarly journals Does Online Community Participation Contribute to Medication Adherence? An Empirical Study of Patients with Chronic Diseases

2021 ◽  
Vol 18 (10) ◽  
pp. 5100
Author(s):  
Jyh-Jeng Wu ◽  
Yueh-Mei Chen ◽  
Paul C. Talley ◽  
Kuang-Ming Kuo
Keyword(s):  
Medication Adherence ◽  
Chronic Diseases ◽  
Online Communities ◽  
Emotional Support ◽  
Self Efficacy ◽  
Online Community ◽  
Healthcare Professionals ◽  
Informational Support ◽  
Chronic Patients ◽  
The Relationship

Effectively improving the medication adherence of patients is crucial. Past studies focused on treatment-related factors, but little attention has been paid to factors concerning human beliefs such as trust or self-efficacy. The purpose of this study is to explore the following aspects of patients with chronic diseases: (1) The relationship between emotional support, informational support, self-efficacy, and trust; (2) the relationship between self-efficacy, trust, and medication adherence; and, (3) whether chronic patients’ participation in different types of online communities brings about significant statistical differences in the relationships between the abovementioned variables. A questionnaire survey was conducted in this study, with 452 valid questionnaires collected from chronic patients previously participating in online community activities. Partial Least Squares-Structural Equation Modeling analysis showed that emotional support and informational support positively predict self-efficacy and trust, respectively, and consequently, self-efficacy and trust positively predict medication adherence. In addition, three relationships including the influence of emotional support on trust, the influence of trust on medication adherence, and the influence of self-efficacy on medication adherence, the types of online communities result in significant statistical differences. Based on the findings, this research suggests healthcare professionals can enhance patients’ self-efficacy in self-care by providing necessary health information via face-to-face or online communities, and assuring patients of demonstrable support. As such, patients’ levels of trust in healthcare professionals can be established, which in turn improves their medication adherence.

scholarly journals Chronic polytherapy after myocardial infarction: the trade-off between hospital and community-based providers in determining adherence to medication

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mirko Di Martino ◽  
Michela Alagna ◽  
Adele Lallo ◽  
Kendall Jamieson Gilmore ◽  
Paolo Francesconi ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Medication Adherence ◽  
Geographic Variation ◽  
Best Practice ◽  
Multilevel Models ◽  
Medication Possession Ratio ◽  
Coronary Intervention ◽  
Community Based ◽  
Optimal Care ◽  
Adherence To Medication

Abstract Background The benefits of chronic polytherapy in reducing readmissions and death after myocardial infarction (MI) have been clearly shown. However, real-world evidence shows poor medication adherence and large geographic variation, suggesting critical issues in access to optimal care. Our objectives were to measure adherence to polytherapy, to compare the amount of variation attributable to hospitals of discharge and to community-based providers, and to identify determinants of adherence to medications. Methods This is a population-based study. Data were obtained from the information systems of the Lazio and Tuscany Regions, Italy (9.5 million inhabitants). Patients hospitalized with incident MI in 2010–2014 were analyzed. The outcome measure was medication adherence, defined as a Medication Possession Ratio (MPR) ≥ 0.75 for at least 3 of the following drugs: antiplatelets, β-blockers, ACEI/ARBs, statins. A 2-year cohort-study was performed. Cross-classified multilevel models were applied to analyze geographic variation. The variance components attributable to hospitals of discharge and community-based providers were expressed as Median Odds Ratio (MOR). Results A total of 32,962 patients were enrolled. About 63% of patients in the Lazio cohort and 59% of the Tuscan cohort were adherent to chronic polytherapy. Women and patients aged 85 years and over were most at risk of non-adherence. In both regions, adherence was higher for patients discharged from cardiology wards (Lazio: OR = 1.58, p < 0.001, Tuscany: OR = 1.59, p < 0.001) and for patients with a percutaneous coronary intervention during the index admission. Relevant variation between community-based providers was observed, though when the hospital of discharge was included as a cross-classified level, in both Lazio and Tuscany regions the variation attributable to hospitals of discharge was the only significant component (Lazio: MOR = 1.30, p = 0.001; Tuscany: MOR = 1.31, p = 0.001). Conclusion Adherence to best practice treatments after MI is not consistent with clinical guidelines, and varies between patient groups as well as within and between regions. The variation attributable to providers is affected by the hospital of discharge, up to two years from the acute episode. This variation is likely to be attributable to hospital discharge processes, and could be reduced through appropriate policy levers.

scholarly journals Empowering families facing end-stage nonmalignant chronic diseases with a holistic, transdisciplinary, community-based intervention: 3 months outcome of the Life Rainbow Program

2020 ◽  
pp. 1-10
Author(s):  
Man-Chi Law ◽  
Bobo Hi-Po Lau ◽  
Anna Y. Y. Kwok ◽  
Judy S. H. Lee ◽  
Rain N. Y. Lui ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Information Needs ◽  
Well Being ◽  
Caregiver Strain ◽  
Spiritual Support ◽  
Community Based ◽  
Average Hospital ◽  
Hospital Bed ◽  
Bed Days ◽  
End Stage

Abstract Objectives Families facing end-stage nonmalignant chronic diseases (NMCDs) are presented with similar symptom burdens and need for psycho-social–spiritual support as their counterparts with advanced cancers. However, NMCD patients tend to face more variable disease trajectories, and thus may require different anticipatory supports, delivered in familiar environments. The Life Rainbow Programme (LRP) provides holistic, transdisciplinary, community-based end-of-life care for patients with NMCDs and their caregivers. This paper reports on the 3-month outcomes using a single-group, pre–post comparison. Method Patients with end-stage NMCDs were screened for eligibility by a medical team before being referred to the LRP. Patients were assessed at baseline (T0), 1 month (T1), and 3 months (T2) using the Integrated Palliative Outcome Scale (IPOS). Their hospital use in the previous month was also measured by presentations at accident and emergency services, admissions to intensive care units, and number of hospital bed-days. Caregivers were assessed at T0 and T2 using the Chinese version of the Modified Caregiver Strain Index, and self-reported health, psychological, spiritual, and overall well-being. Over-time changes in outcomes for patients, and caregivers, were tested using paired-sample t-tests, Wilcoxon-signed rank tests, and chi-square tests. Results Seventy-four patients and 36 caregivers participated in this research study. Patients reported significant improvements in all IPOS domains at both 1 and 3 months [ranging from Cohen's d = 0.495 (nausea) to 1.793 (depression and information needs fulfilled)]. Average hospital bed-days in the previous month fell from 3.50 to 1.68, comparing baseline and 1 month (p < 0.05). At 3 months, caregiver strain was significantly reduced (r = 0.332), while spiritual well-being was enhanced (r = 0.333). Significance After receiving 3 month's LRP services, patients with end-stage NMCDs and their caregivers experienced significant improvements in the quality of life and well-being, and their hospital bed-days were reduced.

A systematic review of factors affecting medication adherence among patients with osteoporosis

2018 ◽  
Vol 29 (12) ◽  
pp. 2623-2637 ◽  
Author(s):  
C. T. Yeam ◽  
S. Chia ◽  
H. C. C. Tan ◽  
Y. H. Kwan ◽  
W. Fong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Medication Adherence ◽  
Factors Affecting

scholarly journals Verbal fluency in elderly with and without hypertension and diabetes from the FIBRA study in Ermelino Matarazzo

2017 ◽  
Vol 11 (4) ◽  
pp. 413-418 ◽  
Author(s):  
Nathalia Lais Morelli ◽  
Meire Cachioni ◽  
Andrea Lopes ◽  
Samila Sathler Tavares Batistoni ◽  
Deusivania Vieira da Silva Falcão ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Low Income ◽  
Verbal Fluency ◽  
Total Sample ◽  
Test Methods ◽  
Community Dwelling ◽  
Community Based ◽  
Qualitative Variables ◽  
Animal Category ◽  
Fluency Test

ABSTRACT. Background: There are few studies on the qualitative variables derived from the animal category verbal fluency test (VF), especially with data originating from low-income samples of community-based studies. Objective: To compare elderly with and without hypertension (HTN) and diabetes mellitus (DM) regarding the total number of animals spoken, number of categories, groups and category switches on the VF test. Methods: We used the database of the FIBRA (Frailty in Brazilian Elderly) community-based study. The variables number of Categories, Groups and Category Switches were created for each participant. The total sample (n = 384) was divided into groups of elderly who reported having HTN, DM, both HTN and DM, or neither of these conditions. Results: There were no significant differences between the groups with and without these chronic diseases for VF total score or for the qualitative variables. Conclusion: Among independent community-dwelling elderly, the qualitative variables derived from the VF animal category may not add information regarding the cognitive profile of elderly with chronic diseases. Total VF score and the qualitative variables Category, Group and Switching did not differentiate elderly with and without HTN and DM.

Sign in / Sign up

Export Citation Format

Share Document