■保持常规护理来源(USC),这对初级医疗保健至关重要,包括最初的接触,综合服务,协调护理,和持续的支持。然而,关于USC与高血压患者用药依从性之间关系的研究有限.本研究旨在调查高血压患者USC与药物依从性之间的关系。
■分析了2020年第二次韩国卫生小组调查的数据。最终样本包括3,318名年龄在19岁或以上的被诊断患有高血压的参与者。USC分为三组:没有USC,仅放置(没有正规医生),和普通医生。使用详细项目评估药物依从性(剂量,频率,时间,没有停止)和4点李克特量表。在控制相关变量的情况下进行逻辑回归分析。
■与没有USC组相比,常规医生组的总体完美/高药物依从率的比值比(ORs)明显更高:1.70(95%置信区间[CI],1.42-2.03)和1.59(95%CI,1.14-2.20)。每个依从性项目观察到类似的结果,包括最佳剂量(或,2.14;95%CI,1.73-2.63),频率(OR,1.87;95%CI,1.53-2.28),时间(或,1.72;95%CI,1.43-2.07),并且没有停止(或,1.56;95%CI,1.09-2.23)/高频(OR,2.47;95%CI,1.21-5.01),时间(或,2.30;95%CI,1.19-4.44)。然而,唯一的地方组在药物依从性方面没有显着差异,除了对剂量的完美依从性(OR,1.35;95%CI,1.06-1.71)。
■这些发现提供了证据,支持在韩国鼓励有正规医生的医疗保健政策的必要性,它有一个医疗保健系统,初级保健有限。
BACKGROUND: Maintaining a usual source of care (USC), which is crucial for primary healthcare, encompasses initial contact, comprehensive services, coordinated care, and ongoing support. However, limited research exists on the relationship between USC and medication adherence in patients with hypertension. This study aimed to investigate the association between USC and medication adherence among patients with hypertension.
METHODS: Data from the 2nd Korea Health Panel Survey 2020 were analyzed. The final sample consisted of 3,318 participants aged 19 years or older diagnosed with hypertension. USC was categorized into three groups: no USC, place only (without a regular doctor), and regular doctor. Medication adherence was assessed using detailed items (dose, frequency, time, no stop) and a 4-point Likert scale. A logistic regression analysis was conducted with control for relevant variables.
RESULTS: Compared to the no USC group, the regular doctor group had significantly higher odds ratios (ORs) for overall perfect/high medication adherence rates: 1.70 (95% confidence interval [CI], 1.42-2.03) and 1.59 (95% CI, 1.14-2.20). Similar results were observed for each adherence item, including prefect dose (OR, 2.14; 95% CI, 1.73- 2.63), frequency (OR, 1.87; 95% CI, 1.53-2.28), time (OR, 1.72; 95% CI, 1.43-2.07), and no stop (OR, 1.56; 95% CI, 1.09-2.23)/high frequency (OR, 2.47; 95% CI, 1.21-5.01), time (OR, 2.30; 95% CI, 1.19-4.44). However, the place only group showed no significant differences in medication adherence except for perfect adherence to dose (OR, 1.35; 95% CI, 1.06-1.71).
CONCLUSIONS: These findings provide evidence supporting the need for healthcare policies that encourage having a regular doctor in South Korea, which has a healthcare system with limited primary care.