Exploring patient's perspective of barriers to diabetic medication adherence in Jazan, Saudi Arabia, using the social determinants of health model.

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL SAGE Open Medicine Pub Date : 2024-08-18 eCollection Date: 2024-01-01 DOI:10.1177/20503121241271820
Amani Khardali, Alanood Aladwani, Fahad Alzahrani, Osama A Madkhali, Saad Al Qahtani, Marwa Qadri, Morghma Deffeallah Adawi, Mohammed Hakamy
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Abstract

Background: Type 2 diabetes mellitus is usually associated with long-term macrovascular and microvascular complications that negatively impact the patient's quality of life and add economic burden to the healthcare system. Understanding patients' perspectives on medication nonadherence is essential for planning the appropriate methods and strategies to improve medication adherence among patients with uncontrolled diabetes.

Aim: Therefore, this study aims to explore patients' perceptions of the barriers to medication adherence through the Social Health determinants framework.

Method: After obtaining ethical approval, qualitative face-to-face interviews with a sample of patients with type 2 diabetes mellitus (uncontrolled diabetes) were conducted. Interviews were audio-recorded, and then the data were analyzed using thematic analysis to identify essential themes related to the patient's views.

Results: Fifteen patients with type 2 diabetes mellitus were interviewed. Potential barriers to antidiabetic medications were identified and categorized based on the Social Determinants of Health domains. The patient's health perceptions and behaviors were found to positively or negatively impact medication adherence. Beliefs toward antidiabetic medications, polypharmacy, medication-related problems, and the relationship between patients and their healthcare providers that related to healthcare access and quality domains were also reported as potential barriers to medications. Financial constraints, social stigma, and family support were other social health determinants factors that were found to have either positive or negative impacts on adherence. Nevertheless, using mobile health applications was suggested to facilitate medication adherence.

Conclusion: Social Determinants of Health, such as education about type 2 diabetes mellitus, quality and access to healthcare, and social stigma and support, might significantly affect medication adherence among type 2 diabetes mellitus patients. This study's findings can aid the development of suitable patient-specific tools and strategies to enhance medication adherence.

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利用健康的社会决定因素模型,从患者的角度探讨沙特阿拉伯贾赞地区糖尿病患者坚持服药的障碍。
背景:2 型糖尿病通常伴有长期的大血管和微血管并发症,这些并发症会对患者的生活质量造成负面影响,并加重医疗系统的经济负担。因此,本研究旨在通过社会健康决定因素框架探讨患者对坚持服药障碍的看法:在获得伦理批准后,对 2 型糖尿病(未控制的糖尿病)患者样本进行了面对面的定性访谈。对访谈进行录音,然后使用主题分析法对数据进行分析,以确定与患者观点相关的基本主题:结果:15 位 2 型糖尿病患者接受了访谈。根据 "健康的社会决定因素"(Social Determinants of Health)领域对患者使用抗糖尿病药物的潜在障碍进行了识别和分类。研究发现,患者的健康观念和行为会对坚持服药产生积极或消极影响。据报告,对抗抑郁药物的看法、多重用药、与药物相关的问题以及患者与医疗服务提供者之间与医疗服务获取和质量相关的关系也是潜在的用药障碍。经济拮据、社会耻辱感和家庭支持等其他社会健康决定因素也对坚持用药产生了积极或消极的影响。不过,有研究建议使用移动医疗应用程序来促进坚持用药:结论:健康的社会决定因素,如有关 2 型糖尿病的教育、医疗保健的质量和可及性、社会耻辱感和支持,可能会严重影响 2 型糖尿病患者的服药依从性。本研究的发现有助于开发适合患者的工具和策略,以提高患者的服药依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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