Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience

Abstract Background Treatment plans fail if patients have poor medication adherence. Our aim was to compare medication adherence, reasons for non-adherence, and satisfaction with community support among type 2 diabetes mellitus patients who pay for their medications and those who receive it free. Me...

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Main Authors: Devarajan Rathish, Ruvini Hemachandra, Thilini Premadasa, Sasini Ramanayake, Chathuri Rasangika, Ravi Roshiban, Channa Jayasumana
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Journal of Health, Population and Nutrition
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41043-019-0161-9
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spelling doaj-c24f84442f974b609cdbc0a710ced8962020-11-25T01:30:45ZengBMCJournal of Health, Population and Nutrition2072-13152019-01-013811810.1186/s41043-019-0161-9Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experienceDevarajan Rathish0Ruvini Hemachandra1Thilini Premadasa2Sasini Ramanayake3Chathuri Rasangika4Ravi Roshiban5Channa Jayasumana6Department of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri LankaDepartment of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri LankaDepartment of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri LankaDepartment of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri LankaDepartment of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri LankaDepartment of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri LankaDepartment of Pharmacology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri LankaAbstract Background Treatment plans fail if patients have poor medication adherence. Our aim was to compare medication adherence, reasons for non-adherence, and satisfaction with community support among type 2 diabetes mellitus patients who pay for their medications and those who receive it free. Methods A descriptive cross-sectional study was conducted at Anuradhapura, Sri Lanka, among patients who were on oral anti-diabetic drugs for at least 3 months. They were grouped into two: universal-free group and fee-paying group. Three different scales were used to score medication adherence, reasons for non-adherence, and satisfaction with community support. Fisher’s exact test was performed to determine if there was a significant difference between the two groups (p < 0.05) concerning medication adherence and satisfaction with community support. Results The median (IQR) medication adherence scores for fee-paying group and universal-free group were 3 (2-3) and 3 (3-3), respectively; the median (IQR) scores for satisfaction with community support were 5 (2–6) and 4 (4–6), respectively. Both the adherence and the satisfaction failed to show a significant difference between the two groups. Forgetfulness, being away from home, complex drug regime, and willingness to avoid side effects were common reasons of non-adherence for both the groups. Conclusions There was no significant difference in medication adherence between the universal-free group and fee-paying group, despite of having a significantly different income. The universal-free health service would be a probable reason.http://link.springer.com/article/10.1186/s41043-019-0161-9Non-adherenceCommunity supportDiabetes mellitusRural sectorSri LankaUniversal-free
collection DOAJ
language English
format Article
sources DOAJ
author Devarajan Rathish
Ruvini Hemachandra
Thilini Premadasa
Sasini Ramanayake
Chathuri Rasangika
Ravi Roshiban
Channa Jayasumana
spellingShingle Devarajan Rathish
Ruvini Hemachandra
Thilini Premadasa
Sasini Ramanayake
Chathuri Rasangika
Ravi Roshiban
Channa Jayasumana
Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience
Journal of Health, Population and Nutrition
Non-adherence
Community support
Diabetes mellitus
Rural sector
Sri Lanka
Universal-free
author_facet Devarajan Rathish
Ruvini Hemachandra
Thilini Premadasa
Sasini Ramanayake
Chathuri Rasangika
Ravi Roshiban
Channa Jayasumana
author_sort Devarajan Rathish
title Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience
title_short Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience
title_full Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience
title_fullStr Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience
title_full_unstemmed Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience
title_sort comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural asian experience
publisher BMC
series Journal of Health, Population and Nutrition
issn 2072-1315
publishDate 2019-01-01
description Abstract Background Treatment plans fail if patients have poor medication adherence. Our aim was to compare medication adherence, reasons for non-adherence, and satisfaction with community support among type 2 diabetes mellitus patients who pay for their medications and those who receive it free. Methods A descriptive cross-sectional study was conducted at Anuradhapura, Sri Lanka, among patients who were on oral anti-diabetic drugs for at least 3 months. They were grouped into two: universal-free group and fee-paying group. Three different scales were used to score medication adherence, reasons for non-adherence, and satisfaction with community support. Fisher’s exact test was performed to determine if there was a significant difference between the two groups (p < 0.05) concerning medication adherence and satisfaction with community support. Results The median (IQR) medication adherence scores for fee-paying group and universal-free group were 3 (2-3) and 3 (3-3), respectively; the median (IQR) scores for satisfaction with community support were 5 (2–6) and 4 (4–6), respectively. Both the adherence and the satisfaction failed to show a significant difference between the two groups. Forgetfulness, being away from home, complex drug regime, and willingness to avoid side effects were common reasons of non-adherence for both the groups. Conclusions There was no significant difference in medication adherence between the universal-free group and fee-paying group, despite of having a significantly different income. The universal-free health service would be a probable reason.
topic Non-adherence
Community support
Diabetes mellitus
Rural sector
Sri Lanka
Universal-free
url http://link.springer.com/article/10.1186/s41043-019-0161-9
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