Patient’s Knowledge of Drug-Related Cost Information in Saudi Arabi

Y. Alomi, Dima Ahmad Alaskari, Malak Mohammad Almelfi, Dima Badawi
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Abstract

Objective: To explore the Patient’s Knowledge of medicines related cost information in Saudi Arabia. Methods: It is a 4-months cross-sectional survey of patient and basic knowledge of medicines. The survey consisted of two-part, demographic information and second part forty-nine questions divided into four domains. It included domain 1: Primary or essential information about patient medication, domain 2: patient information about the drug-related problem, domain 3: patient information about drug-related cost and domain 4: patient perception of medications. Medline Plus health information and DailyMed-INH elements information from National Institute of Health United State of America were used. The 5-point Likert response scale system was used. The questions were open and closed-ended. The survey distributed through social media and at 500-bed pediatrics and maternity hospital in Asir region, at ambulatory care pharmacy. The hospitals were accredited by Saudi Center for Healthcare organization (CBAHI) and Joint Commission on Hospital Accreditation from the United States of America (USA). The authors did the patients interview with electronic survey documentation. The survey was made in an electronic format and it analyzed domain three patient information about drug-related cost through survey monkey system. Results: The total responders were (614) patients with Saudi 564 (96.1%) and Non-Saudi 23 (3.9%) nationalities. The gender distribution 523 (85.2%) were females and 91 (14.8%) were males. The most type of medications used was anti-diabetic and anti-hypertension medicines, Skin medications and drugs for Respiratory Diseases. The responders showed good knowledge about drug storage at room temperature 380 (64.7%) or refrigerator 378 (64.7%), protect medication from light exposures 335 (57.56%) and how to behave with an expired medication 328 (59.85%). The patient had not adequate information about prescription prices 294 (49.83%) and imperfect knowledge about Health insurance coverage of medications 198 (32.53%). The patients showed that missing of medication knowledge led them to visit doctor clinic 114 (20%), visit the pharmacy 180 (32.4%), visit hospital emergency 40 (7.4%), hospital admission 77 (13.9%) or intensive care admission 23 (4.3%). Conclusion: The patients missed medication cost knowledge in Ministry of Health organization. Drug-related prices and medication cost awareness are demanding for Saudi patient to prevent drug-related hospital admission, patient’s shares in the drug therapy plan to choose the appropriate medications to improve patient adherence and improve clinical outcomes and patients’ quality of life. Key words: Patient, Knowledge, Medications, Cost, Ministry of Health, Saudi Arabia.
沙特阿拉伯患者对药品相关费用信息的了解情况
目的:了解沙特阿拉伯患者对药品相关费用信息的了解情况。方法:对患者进行为期4个月的药物基础知识横断面调查。调查包括两部分,人口统计信息和第二部分49个问题,分为四个领域。它包括领域1:患者用药的主要或基本信息,领域2:患者有关药物相关问题的信息,领域3:患者有关药物相关费用的信息,以及领域4:患者对药物的感知。使用了来自美国国立卫生研究院的Medline Plus健康信息和DailyMed-INH元素信息。采用李克特5分制反应量表。这些问题有开放式的,也有封闭式的。该调查通过社交媒体和阿西尔地区500张床位的儿科和妇产医院以及流动护理药房进行分发。这些医院获得了沙特保健组织中心(CBAHI)和美利坚合众国医院认证联合委员会(美国)的认证。作者使用电子调查文件对患者进行访谈。调查采用电子形式,通过调查猴系统对三领域患者的药物相关费用信息进行分析。结果:总应答者为614名患者,沙特564名(96.1%),非沙特23名(3.9%)。性别分布:女性523例(85.2%),男性91例(14.8%)。使用最多的药物类型是抗糖尿病和抗高血压药物、皮肤药物和呼吸系统疾病药物。应答者对药品常温保存380例(64.7%)或冰箱保存378例(64.7%)、保护药品避光335例(57.56%)、过期药品如何处理328例(59.85%)有较好的了解。患者对处方价格信息不充分的有294人(49.83%),对药品健康保险覆盖面不完全的有198人(32.53%)。因用药知识缺失导致就诊医生门诊114例(20%)、药房180例(32.4%)、医院急诊40例(7.4%)、住院77例(13.9%)、重症监护23例(4.3%)。结论:患者对卫生部门的用药费用知识存在缺失。与药物相关的价格和药物成本意识要求沙特患者预防与药物相关的住院,患者在药物治疗计划中的份额,选择合适的药物,以提高患者的依从性,改善临床结果和患者的生活质量。关键词:患者,知识,药物,费用,卫生部,沙特阿拉伯。
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