Cost-related medication nonadherence in the Mekong Delta, Vietnam.

IF 1.5 Q3 PHARMACOLOGY & PHARMACY
Van De Tran, Minh Cuong Nguyen, Thi Hai Yen Nguyen, Thi Thu Tran, Rebecca Susan Dewey
{"title":"Cost-related medication nonadherence in the Mekong Delta, Vietnam.","authors":"Van De Tran, Minh Cuong Nguyen, Thi Hai Yen Nguyen, Thi Thu Tran, Rebecca Susan Dewey","doi":"10.1093/ijpp/riae065","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cost-related nonadherence (CRN) to prescription medication has been shown to affect healthcare outcomes. While CRN has been reported in many countries globally, it has not been fully characterized in Vietnam.</p><p><strong>Objectives: </strong>This study was conducted to determine CRN rates and factors associated with CRN among pharmacy customers in the Mekong Delta, Vietnam.</p><p><strong>Methods: </strong>A cross-sectional research design used printed self-administered questionnaires in Vietnamese distributed to customers of private pharmacies and pharmacy chains in the Mekong Delta from January to March 2024.</p><p><strong>Results: </strong>Of the 1546 respondents, 49.9% reported experiencing CRN, with the most commonly reported action being delaying filling a prescription (38.2%). Compared to participants aged ≥65 years, those aged 18-44 years were 2.5 times more likely to report CRN, with an adjusted odds ratio (aOR) of 2.51 (95% confidence interval [CI]: 1.55-4.06). Poorer self-reported health status was a strong predictor of CRN (aOR = 3.72; 95% CI: 2.32-5.95) compared to better self-reported health status. Having more prescriptions was a strong predictor of CRN (aOR = 2.25; 95% CI: 1.70-2.98) compared to having fewer prescriptions. The presence of chronic conditions was associated with being 2.5 times more likely to report CRN (aOR = 2.46; 95% CI: 1.71-3.55) compared to those without chronic conditions.</p><p><strong>Conclusions: </strong>Nearly half of the participants experienced CRN. The findings of this study showed that implementing public health initiatives, such as routine care, in-person and telephone counseling, and educational programs by pharmacists, is necessary to reduce CRN among the population of the Mekong Delta. More studies are needed to help inform policymakers on how to reduce CRN and improve access to medications.</p>","PeriodicalId":14284,"journal":{"name":"International Journal of Pharmacy Practice","volume":" ","pages":"64-72"},"PeriodicalIF":1.5000,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Pharmacy Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/ijpp/riae065","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PHARMACOLOGY & PHARMACY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Cost-related nonadherence (CRN) to prescription medication has been shown to affect healthcare outcomes. While CRN has been reported in many countries globally, it has not been fully characterized in Vietnam.

Objectives: This study was conducted to determine CRN rates and factors associated with CRN among pharmacy customers in the Mekong Delta, Vietnam.

Methods: A cross-sectional research design used printed self-administered questionnaires in Vietnamese distributed to customers of private pharmacies and pharmacy chains in the Mekong Delta from January to March 2024.

Results: Of the 1546 respondents, 49.9% reported experiencing CRN, with the most commonly reported action being delaying filling a prescription (38.2%). Compared to participants aged ≥65 years, those aged 18-44 years were 2.5 times more likely to report CRN, with an adjusted odds ratio (aOR) of 2.51 (95% confidence interval [CI]: 1.55-4.06). Poorer self-reported health status was a strong predictor of CRN (aOR = 3.72; 95% CI: 2.32-5.95) compared to better self-reported health status. Having more prescriptions was a strong predictor of CRN (aOR = 2.25; 95% CI: 1.70-2.98) compared to having fewer prescriptions. The presence of chronic conditions was associated with being 2.5 times more likely to report CRN (aOR = 2.46; 95% CI: 1.71-3.55) compared to those without chronic conditions.

Conclusions: Nearly half of the participants experienced CRN. The findings of this study showed that implementing public health initiatives, such as routine care, in-person and telephone counseling, and educational programs by pharmacists, is necessary to reduce CRN among the population of the Mekong Delta. More studies are needed to help inform policymakers on how to reduce CRN and improve access to medications.

越南湄公河三角洲与费用相关的不遵医嘱用药现象。
背景:处方药物的费用相关不依从(CRN)已被证明会影响医疗保健结果。虽然CRN在全球许多国家都有报道,但在越南尚未完全表征。目的:本研究旨在确定越南湄公河三角洲药房顾客的CRN率和与CRN相关的因素。方法:采用横断面研究设计,于2024年1月至3月向湄公河三角洲地区的私营药店和连锁药店的顾客发放越南语自填问卷。结果:在1546名受访者中,49.9%的人报告经历了CRN,最常见的报告行为是延迟填写处方(38.2%)。与年龄≥65岁的参与者相比,18-44岁的参与者报告CRN的可能性高出2.5倍,调整后的优势比(aOR)为2.51(95%可信区间[CI]: 1.55-4.06)。较差的自我报告健康状况是CRN的强预测因子(aOR = 3.72;95% CI: 2.32-5.95),与自我报告的更好的健康状况相比。处方较多是CRN的强预测因子(aOR = 2.25;95% CI: 1.70-2.98)。慢性疾病的存在与报告CRN的可能性增加2.5倍相关(aOR = 2.46;95% CI: 1.71-3.55),与无慢性疾病的患者相比。结论:近一半的参与者经历了CRN。这项研究的结果表明,实施公共卫生倡议,如常规护理,面对面和电话咨询,以及药剂师的教育计划,对于减少湄公河三角洲人口中的CRN是必要的。需要更多的研究来帮助决策者了解如何减少CRN和改善获得药物的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信