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Comprehensive medication management services influence medication adherence among Japanese older people

Objective: Assistance from health professionals is very important to ensure medication adherence among older people. The present study aimed to assess the relationship between receipt of comprehensive medication management services by primary care physicians and medication adherence among community-...

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Autores principales: Hirakawa, Yoshihisa, Hilawe, Esayas Haregot, Chiang, Chifa, Kawazoe, Nobuo, Aoyama, Atsuko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Association of Rural Medicine 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689736/
https://www.ncbi.nlm.nih.gov/pubmed/26705432
http://dx.doi.org/10.2185/jrm.2900
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author Hirakawa, Yoshihisa
Hilawe, Esayas Haregot
Chiang, Chifa
Kawazoe, Nobuo
Aoyama, Atsuko
author_facet Hirakawa, Yoshihisa
Hilawe, Esayas Haregot
Chiang, Chifa
Kawazoe, Nobuo
Aoyama, Atsuko
author_sort Hirakawa, Yoshihisa
collection PubMed
description Objective: Assistance from health professionals is very important to ensure medication adherence among older people. The present study aimed to assess the relationship between receipt of comprehensive medication management services by primary care physicians and medication adherence among community-dwelling older people in rural Japan. Methods: Data including medication adherence and whether or not a doctor knew all the kinds of medicines being taken were obtained from individuals aged 65 years or older who underwent an annual health checkup between February 2013 and March 2014 at a public clinic in Asakura. The subjects were divided into 2 groups: adherent (always) and non-adherent (not always). A logistic regression analysis was performed to assess the association between the presence of a doctor who was fully responsible for medication adherence and self-reported adherence. Predictors that exhibited significant association (p-value < 0.05) with medication adherence in a univariate analysis were entered in the model as possible confounding factors. The results were presented as odds ratios (OR) and 95% confidence intervals (CI). Results: Among four-hundred ninety-seven subjects in total, the adherent group included 430 subjects (86.5%), and its members were older than those of the non-adherent group. Significant predictors of good medication adherence included older age, no discomforting symptoms, eating regularly, diabetes mellitus and having a doctor who knew all the kinds of medicines being taken. After being adjusted for confounding variables, the subjects with a doctor who knew all the kinds of medicines they were taking were three times more likely to be adherent to medication (OR 3.01, 95% CI 1.44-6.99). Conclusion: Receipt of comprehensive medication management services for older people was associated with medication adherence.
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spelling pubmed-46897362015-12-24 Comprehensive medication management services influence medication adherence among Japanese older people Hirakawa, Yoshihisa Hilawe, Esayas Haregot Chiang, Chifa Kawazoe, Nobuo Aoyama, Atsuko J Rural Med Original Article Objective: Assistance from health professionals is very important to ensure medication adherence among older people. The present study aimed to assess the relationship between receipt of comprehensive medication management services by primary care physicians and medication adherence among community-dwelling older people in rural Japan. Methods: Data including medication adherence and whether or not a doctor knew all the kinds of medicines being taken were obtained from individuals aged 65 years or older who underwent an annual health checkup between February 2013 and March 2014 at a public clinic in Asakura. The subjects were divided into 2 groups: adherent (always) and non-adherent (not always). A logistic regression analysis was performed to assess the association between the presence of a doctor who was fully responsible for medication adherence and self-reported adherence. Predictors that exhibited significant association (p-value < 0.05) with medication adherence in a univariate analysis were entered in the model as possible confounding factors. The results were presented as odds ratios (OR) and 95% confidence intervals (CI). Results: Among four-hundred ninety-seven subjects in total, the adherent group included 430 subjects (86.5%), and its members were older than those of the non-adherent group. Significant predictors of good medication adherence included older age, no discomforting symptoms, eating regularly, diabetes mellitus and having a doctor who knew all the kinds of medicines being taken. After being adjusted for confounding variables, the subjects with a doctor who knew all the kinds of medicines they were taking were three times more likely to be adherent to medication (OR 3.01, 95% CI 1.44-6.99). Conclusion: Receipt of comprehensive medication management services for older people was associated with medication adherence. The Japanese Association of Rural Medicine 2015-12-23 2015 /pmc/articles/PMC4689736/ /pubmed/26705432 http://dx.doi.org/10.2185/jrm.2900 Text en ©2015 The Japanese Association of Rural Medicine http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
spellingShingle Original Article
Hirakawa, Yoshihisa
Hilawe, Esayas Haregot
Chiang, Chifa
Kawazoe, Nobuo
Aoyama, Atsuko
Comprehensive medication management services influence medication adherence among Japanese older people
title Comprehensive medication management services influence medication adherence among Japanese older people
title_full Comprehensive medication management services influence medication adherence among Japanese older people
title_fullStr Comprehensive medication management services influence medication adherence among Japanese older people
title_full_unstemmed Comprehensive medication management services influence medication adherence among Japanese older people
title_short Comprehensive medication management services influence medication adherence among Japanese older people
title_sort comprehensive medication management services influence medication adherence among japanese older people
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4689736/
https://www.ncbi.nlm.nih.gov/pubmed/26705432
http://dx.doi.org/10.2185/jrm.2900
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