■监测社会中的药物治疗依从性对于确定潜在的药物使用不足的发生和原因以及告知提供者需要更好的客户咨询至关重要。这是医疗保健服务质量战略规划的必要组成部分。这项基于人群的研究旨在评估塞尔维亚共和国的药物摄入依从性以及影响其模式的个体因素和卫生系统变量。
■我们使用对最新的2019年塞尔维亚国家健康调查数据进行二次分析,采用横断面方法研究药物摄入依从性。药物治疗依从性的统计模型纳入了社会人口统计学数据,自我报告的疾病,和生活方式行为。
■2019年,在塞尔维亚12066名成年人的代表性样本中,需要开处方药,49.8%的人确实遵守了处方药,50.2%没有。坚持处方药的参与者年龄显著(p<0.001)(62.4±14岁),以女性为主(55.3%),受过中等教育(48.5%),居住在塞尔维亚南部和东部(55.5%),属于收入最低的五分之一(21.4%)。参与者最常服用处方药治疗高血压(64.1%)和腰背痛(30.5%),而大约20%的人服用冠心病药物,糖尿病,和高血胆固醇。大约85-92%的参与者有经济或一般困难,使用处方药。
■在塞尔维亚,处方药的服药依从性差。性别,年龄,和地区决定坚持。此外,健康相关和医疗保健系统相关因素影响处方药物的使用。研究结果可以为需要改善药物依从性的目标群体提供咨询干预措施的规划,以及加强医疗保健提供者关于药物治疗依从性的培训。
UNASSIGNED: Monitoring the
pharmacotherapy adherence in society is crucial for identifying occurance and causes of potential inadequate use of drugs and inform providers about the need for better customer counceling. It is necessary component of the strategic planning of the quality of healthcare services. This population- based study aimed to assess the medication intake adherence in the Republic of Serbia and the individual factors and health system variables influencing its pattern.
UNASSIGNED: We applied a cross-sectional approach to study medication intake adherence using a secondary analysis of the latest 2019 Serbian National Health Survey data. The statistical modeling of the
pharmacotherapy adherence incorporated sociodemographic data, self-reported disease, and lifestyle behavior.
UNASSIGNED: In 2019, in the representative sample of 12,066 adults in Serbia, requiring prescribed medicine, 49.8% did comply with the prescribed drugs, and 50.2% do not. Participants who adhered to prescribed medication were significantly (p < 0.001) older (62.4 ± 14 years), predominantly female (55.3%), had secondary education (48.5%), resided in southern and eastern parts of Serbia (55.5%), and belonged to the lowest income quintile (21.4%). The participants most often take prescribed drugs for hypertension (64.1%) and lower back pain (30.5%), while around 20% take medication for coronary disease, diabetes mellitus, and high blood cholesterol. About 85-92% of participants with financial or general difficulties using prescribed medication.
UNASSIGNED: There is poor medication intake adherence to prescribed medication in Serbia. Gender, age, and region determine the adherence. Also, health-related and healthcare system-related factors impact the use of prescribed medication. Study findings can inform planning the counceling interventions in the target groups where improving medication adherence is necessary, as well as to enhance training of healthcare providers about
pharmacotherapy adherence.