Correlation between Usual Source of Care and Medication Adherence in Patients with Hypertension
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Background: Maintaining a usual source of care (USC), which is crucial for primary healthcare, encompasses ini-tial 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 inves-tigate 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).Conclusion: 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.
Abstract
Background: Maintaining a usual source of care (USC), which is crucial for primary healthcare, encompasses ini-tial 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 inves-tigate 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).Conclusion: 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.
참고문헌 (21)
- "Hypertension" (2021)[URL]
- Kim HC, "Korea hypertension fact sheet 2021 : analysis of nationwide population-based data with special focus on hypertension in women", Clin Hypertens, 28, pp.1~ (2022)
- Jee SH, "Prevalence of cardiovascular risk factors in South Korean adults : results from the Korea Medical Insurance Corporation(KMIC)Study", Ann Epidemiol, 8, pp.14~21 (1998)
- Park JK, "Meta-analysis of hypertension as a risk factor of cerebrovascular disorders in Koreans", J Korean Med Sci, 16, pp.2~8 (2001)
- Neal B, "Effects of ACE inhibitors, calcium antagonists, and other blood-pressure-lowering drugs : results of prospectively designed overviews of randomised trials. Blood Pressure Lowering Treatment Trialists’ Collaboration", Lancet, 356, pp.1955~1964 (2000)
- Kim HC, "Korea hypertension fact sheet 2020 : analysis of nationwide population-based data", Clin Hypertens, 27, pp.8~ (2021)
- Park JH, "Antihypertensive drug medication adherence of people with disabilities and its affecting factors in Korea", J Prev Med Public Health, 40, pp.249~258 (2007)
- Jung Y, "The association between having a usual source of care and adherence to medicines in patients with chronic diseases", Korean J Clin Pharm, 26, pp.128~136 (2016)
- "Medical Expenditure Panel Survey (MEPS) topics: usual source of care" (2019)[URL]
- Shin S, "The association between types of usual source of care and medication adherence among the elderly", J Korea Contents Assoc, 21, pp.609~621 (2021)
- Kim JH, "Effects of having regular source of care on preventive services and disease control", J Korean Acad Fam Med, 28, pp.278~285 (2007)
- An AR, "Having a usual source of care and its associated factors in Korean adults : a cross-sectional study of the 2012 Korea Health Panel Survey", BMC Fam Pract, 17, pp.167~ (2016)
- Kim KM, "The association between types of usual source of care and unmet health care needs", Health Soc Sci, 53, pp.105~128 (2020)
- Song YJ, "Current status and trends in having a usual source of care in South Korea: adults aged 18 and older", Proceedings of the Korean Medical Panel Conference (2018), Korea Institute for Health and Social Affairs
- Sung NJ, "Higher quality primary care is associated with good self-rated health status", Fam Pract, 30, pp.568~575 (2013)
- Starfield B, "Primary care: balancing health needs, services, and technology" (1998), Oxford University Press
- Kerse N, "Physician-patient relationship and medication compliance : a primary care investigation", Ann Fam Med, 2, pp.455~461 (2004)
- Chang TJ, "Association between patient-clinician relationships and adherence to antihypertensive medications among Black adults : an observational study design", J Am Heart Assoc, 10, pp.e019943~ (2021)
- Kim D, "Types of usual source of care and patient-centered communications", Korean J Fam Med, 43, pp.353~360 (2022)
- Golin CE, "The role of patient participation in the doctor visit. Implications for adherence to diabetes care", Diabetes Care, 19, pp.1153~1164 (1996)
- De Geest S, "Medication non-adherence as a critical factor in the management of presumed resistant hypertension : a narrative review", EuroIntervention, 9, pp.1102~1109 (2014)