Association between availability of glucose-lowering drugs in primary health institutions and diabetes patients' medication adherence:a cross-sectional study in Shandong Province,China
- Author:
Yao JIANSEN
1
,
2
;
Wang HAIPENG
;
Shao DI
;
Yin JIA
;
Guo XIAOLEI
;
Yin XIAO
;
Sun QIANG
Author Information
1. Center for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,No.44,Wenhua West Road,Lixia District,Jinan 250012,China
2. Institute for Hospital Management,Tsinghua University,University Town of Shenzhen,Nanshan District,Shenzhen 518055,China
- Keywords:
Diabetes mellitus;
Primary health institutions;
Medication adherence;
Shandong;
China
- From:
Global Health Journal
2021;5(2):83-89
- CountryChina
- Language:Chinese
-
Abstract:
Background:Primary health care system is a critical component of diabetes care and management.This article aimed to analyze the availability of glucose-lowering drugs in primary health institutions (PHIs) in China,and to explore the relationship between availability of glucose-lowering drugs and medication adherence among type 2 diabetes mellitus (T2DM) patients.Methods:This cross-sectional study conducted in Shandong Province,eastern China (hereafter referred to as Shandong),between August and December 2017.In total,2520 community-managed T2DM patients were se-lected from 68 PHIs in Shandong,including 62 village-level and 6 township-level PHIs.The self-developed ques-tionnaire was used to survey the availability of glucose-lowering drugs in PHIs.Patients' medication adherence was assessed by four self-reported questions,and was classified as either adherent or non-adherent.Descriptive statistics was used to analyze the availability of glucose-lowering drugs in PHIs and the medication adherence among the T2DM patients.Multilevel logistic regression models were used to explore the relationship between the availability of glucose-lowering drugs in PHIs and patients' medication adherence.Results:A total of 1866 T2DM patients prescribed with at least one glucose-lowering drug were included in analysis.Among them,58.5％ patients followed their antidiabetic treatment well.In village-level PHIs,the pa-tient's adherence rate was lower than in township-level PHIs (55.9％ vs.61.1％,P ＜ 0.05).Among the 68 PHIs,average (2.53±0.97) glucose-lowering products (generic names) were available,which in village-level PHIs were less than in township-level PHIs (2.47 vs.3.17,P ＜ 0.05).And the number of available glucose-lowering products in PHIs was associated with the adherence of T2DM patients.Conclusion:Poor availability of glucose-lowering products was found in PHIs in Shandong.The availability of glucose-lowering products in PHIs was positively associated with patients' medication adherence,and could be enhanced to improve the control of diabetes in primary care settings.
