Ethnic differences of medicines-taking in older adults: a cross cultural study in New Zealand

Bassett-Clarke, Debbie; Krass, Ines; Bajorek, Beata

doi:10.1111/j.2042-7174.2011.00169.x

Cited by 18 publications

(15 citation statements)

References 19 publications

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“… 5 Ethnic differences in attitudes to medicines and medicines-taking have been documented, and investigating these differences is important for developing resources to assist health care providers in providing tailored patient care. 6 Investigating these factors in Jordan, a country with low income and unique health care system can unveil important commonalities and dissimilarities. Jordanian health care system lacks the general prescriber/family doctor structure, with up to 40% of patients self-medicate themselves, and up to 50% purchase their medications at community pharmacies without receiving pharmacist counselling.…”

Section: Introductionmentioning

confidence: 99%

Associations between patient factors and medication adherence: A Jordanian experience

Basheti

Hait²,

Qunaibi

et al. 2016

Pharm Pract (Granada)

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Objective:To explore the effect of patient characteristics and health beliefs on their medication adherence.Methods:Patients (n=167) with chronic conditions (mean age 58.9; SD=13.54, 53% males) were recruited from March 2009- to March 2010 using a cross sectional study design. Data collected included patients’ demographics, medical conditions, medications therapeutic regimen, frequency of physician visits and health beliefs. Patient self-reported adherence to medications was assessed by the researcher using a validated and published scale. Treatment related problems (TRPs) were evaluated for each patient by competent clinical pharmacists. Associations between patient characteristics/health beliefs with adherence were explored.Results:About half of the patients (46.1%) were non-adherent. A significant association was found between lower adherence and higher number of disease states (p<0.001), higher number of medications (p=0.001), and higher number of identified TRPs (p = 0.003). Patient adherence was positively affected by older age, higher educational level, and higher number of physician visits per month, while it was negatively affected by reporting difficulties with getting prescription refills on time.Conclusion:This study identified different factors that may negatively affect adherence, including higher number of medications and disease states, higher number of identified TRPs and inability to getting prescription refills on time. Hence, more care needs to be provided to patients with complex therapeutic regimens in order to enhance adherence.

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Section: Introductionmentioning

confidence: 99%

Associations between patient factors and medication adherence: A Jordanian experience

Basheti

Hait²,

Qunaibi

et al. 2016

Pharm Pract (Granada)

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“…Thus, there is limited opportunity to discuss the proposed treatment plan and educate patients to facilitate adherence to treatment. Ethnic differences in attitudes toward medicine-taking have also been considered in a study of the New Zealand population (40), reporting that Asian patients were less likely to discuss their medicines with the doctor than European patients. There is a need for health care providers to become more cognisant of the views and beliefs that underpin their patients' low adherence to medication, as well as address patients' concerns about management hypertension and the specific role of medication (33,41).…”

Section: Discussionmentioning

confidence: 99%

Perspectives on antihypertensive medication: a qualitative study in a rural Yogyakarta province in Indonesia

Rahmawati

Bajorek

2015

Drugs Ther Perspect

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Introduction: Patients' perceptions and beliefs underpin their adherence to pharmacotherapeutic regimens and are influenced by access to appropriate information and education. This study explores the perceptions about anti-hypertension medication of lay persons from a low-resource community in Indonesia.Methods: Individual, semi-structured interviews were conducted, transcribed and thematically analysed. Fourteen respondents (i.e. older persons with hypertension and lay health workers) from a local community-based health program in Yogyakarta province (Indonesia) were recruited for this qualitative study.Results: Four themes emerged: 1) Participants felt that medication for hypertension is unnecessary, instead preferring lifestyle changes and traditional medicines; 2) A fear of becoming dependent on medication underpinned non-adherence to anti-hypertensive agents; participants with hypertension wanted to achieve normal blood pressure but without taking long-term medication; 3) Symptom-based drivers for treatment led participants to rank other health problems a higher priority than hypertension; 4) Although lay health workers had an opportunity to provide information about hypertension and its management, participants themselves considered this to be currently inadequate. Conclusion:Some misconceptions regarding the role of anti-hypertension medication that negatively influenced adherence were identified. Beliefs that hypertension can be easily treated by lifestyle modifications can undermine motivation to take anti-hypertensive agents.Participants expressed their need for more targeted information about hypertension and its treatment; however, they do not expect to obtain such information from their physician. The potential role of lay health workers needs to be further explored as a strategy to enhance understanding and adherence.

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“…With perceived cultural or language barriers, this important information is often omitted, when in fact it is this provision of medication knowledge that older adults want and find valuable. 11,12 To achieve this level of communication during a consultation, pharmacists must be both resourceful and creative in their approach. Some recommendations include the following:…”

Section: What Are the Practice Implications And Challenges For Pharmamentioning

confidence: 99%

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Ethnic differences of medicines-taking in older adults: a cross cultural study in New Zealand

Cited by 18 publications

References 19 publications

Associations between patient factors and medication adherence: A Jordanian experience

Associations between patient factors and medication adherence: A Jordanian experience

Perspectives on antihypertensive medication: a qualitative study in a rural Yogyakarta province in Indonesia

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