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December 03-04, 2018 | Lisbon, Portugal
Public Health, Women's Health, Nursing and Hospital Management
Joint Event
Journal of Community Medicine & Health Education | ISSN : 2161-0711 | Volume 08
Chronic patient compensable medication adherence
Introduction:
Due to the introduction of the electronic Health system in Latvia from
January 1, 2018 general practioners are able to check if patients had bought prescribed
medications.Non- using of prescription drugs is actual problem all over the World.For
example in United States about 35% of chronic patients do not use their medicaments.
Using statins were about just 40% patients. Despite medication using indications, many
patients do not use it, or use irregular. Medication nonadherence increase the risks to
the patient healt and leads to negative consequences, causes financial loss and increases
hospitalization rate.There are many reasons for not taking medications, for example-
multimorbidity, being not able to afford them, despite of compensation,misunderstanding
about ilness, asymptomatic diseases, patient cognitive status,mistrustin to their general
practioner. It has been proven that patient adherence has been less in long term therapy
and if the amount of prescribed medication increases. Patient adherence in case of using
one medication is 81%, but if they have to use 4 medications, adherence decreases to 33%.
Aim:
The aim of the study is to compare medication nonadherence for chronic patients
among seven diagnosis- arterial hypertension, first type of diabetes, second type of diabetes,
hyperlipidaemia,chronic obstructive lung disease, bronchial astma, depresion.
Materials and methods:
There was done retrospective longitudinal study data of 229
patients.Patients were selected from two family doctors practices among seven diagnoses
during the period from first january 2018 until 31 of July 2018. In study were included
patients at least 18 years old, who had one or more diagnosis from selected seven diagnosis-
arterial hypertension, first type of diabetes, second type of diabetes, hyperlipidaemia,chronic
obstructive lung disease, bronchial astma, depresion and who were prescribed compensable
medications. The data obtained were verified in the electronic Health system and analyzed
in SPSS system.
Results :
In this study were included patients, who had at least one from the mentioned
diagnosis and who had visited their primary practioner from 1January 2018 until 31July
2018- total 217 patients. 127 patients(58,5%) were women and 90 patients (41,5%) were
men. All seven diagnosis didnt have any of patients. Most patients had just one diagnosis-
46,1%; two diagnosis had 35% and three diagnosis had 13,4% of patients. During period
from 1st January until 31st July 2018 have been prescribed 1524 medications, but from all
prescribed medications just 78,9% have been also bought. 21,1% medications havent been
bought. The range of prescribed medications for one person during period ranges from
one to 35 medications. The most patients have been prescribed two medications-13,4%.
Statistically significant difference (p= 0,033) occurs for most nonadherent diagnosis- 19,2
% of Chronic obstructive lung disease havent bought prescribed medications. In the second
place for medication nonadherence is patients with depression-10,8%. Than goes patients
with diagnosis hypercholesterinemiae- 10,4% are nonadherent. In this study there wasnt
statistically significant difference in prescribed medication group (p=0,331). Nonadherent
were patients with prescribed statins-10,3%, than goes rescue medicaments( salbutamolum,
nitrendipinum) -7,5% have not been bought.
pureniite3@inbox.lvKristine Visnevska
Riga Stradins University, Latvia
Kristine Visnevska, J Community Med Health Educ 2018, Volume:8
DOI: 10.4172/2161-0711-C7-051