Factors affecting medication adherence of hypertension and diabetes club members in the District Health Centers in the City of Baguio
- Author:
Maria Adorada Joy N. Amino, MD
;
Faith M. Garcia, MD, FPAFP
;
Haydee D. Danganan, MD, FPAFP
;
Joseph L. Alunes, MD, FPAFP
- Publication Type:Journal Article
- Keywords:
Hypertension and Diabetic Club members
- MeSH:
Non-communicable disease;
medication adherence
- From:
The Filipino Family Physician
2023;61(1):61-69
- CountryPhilippines
- Language:English
-
Abstract:
Background:Medication adherence is important to mitigate complications of NCDs. Hypertension and diabetes clubs were intended to make essential medications accessible to club members. Despite these efforts, patients avail treatment and management in acute care with noted complications. To address this problem, it is important to identify factors that affect patients’ adherence medication.
Objectives:This study aimed to determine the factors affecting adherence to medications of members enrolled in the Hypertension and Diabetes Club in the district health centers in the city of Baguio.
Methods:This is a cross-sectional study with a total of 374 respondents from the 16 different district health centers in the City of Baguio, obtained through random sampling. A validated questionnaire was utilized for the collection of data and was presented using percentage and frequency tables. A chi-square test was used to find the association of clinic-demographic data with respondents’ medication adherence.
Results:Hypertension and Diabetic Club members overall reported good adherence to medication. Majority of the respondents are female and are older than 61 years old while comorbidities show significant association with level of adherence. On the other hand, lack of finances, feeling that the drug is not effective, multiple medications, taking medications for many years, interference with meal plan, feeling the dose is too high, and complexity of drug regimen are noted to be associated factors for non-adherence.
Conclusion:Hypertension and Diabetes Club a community-based management in the City of Baguio shows a good impact on patients’ medication adherence. Comorbidities, chronicity, good family support as well as good physician-patient relationship can positively affect adherence to medications. On the other hand, factors affecting medications non-adherence are: complexity of medications, subjective report that medication is too high, interference to meal, having medications for many years and having multiple medications. Identifying factors affecting adherence and nonadherence are important to decrease further complications of the common NCDs.
- Full text:PAFP-JOURNAL-61-63-71.pdf
