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
;
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;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.
