国家神经系统疾病临床医学研究中心数据管理与共享系统
Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases
Barriers to medication adherence in a rural-urban dual economy-a multi-stakeholder qualitative study
第一作者：Jacqueline Xu
基本信息
- 负责人：Jacqueline Xu
- 数据来源： OTHERS
- 论文编号：OTHERS20210129
- 发表时间：2021-08-12
2021-08-12
已发表文章
发表杂志：BMC Health Services Research
发表类型: Original Research
影响因子(IF): 2.655
PMID: 34380492 Pubmed原文链接 全文下载
主要研究背景及目的
One of the most cost-effective treatments for secondary prevention of stroke and other non-communicable diseases is a long-term medication regimen. However, the complexities of medication adherenceextend far beyond individual behavior change, particularly in low- and middle-income countries. The purpose of this study was to examine stakeholder perspectives on barriers to medication adherence for stroke patients inBeijing, China, identifying opportunities to improve care and policy in resource-constrained settings.
方法
We conducted a qualitative, phenomenological analysis of data obtained from 36 individuals. Participants were patients; caregivers; healthcare providers; and representatives from industry and government, purposivelyselected to synthesize multiple perspectives on medication management and adherence for stroke secondary prevention in Beijing, China. Data was analyzed by thematic analysis across iterative coding cycles.
结论
These barriers to medication management and adherence suggest opportunities for policy reform and local practice changes, particularly for multi-tiered health systems. Findings from this study in Beijing, China could be explored for applicability in other low- and middle-income countries with urban centers serving large geographic regions.
主要结果
Four major themes characterized barriers on medication adherence, across stakeholders and geographies: limitations driven by individual patient knowledge / attitudes; lack of patient-provider interaction time; lack of coordination across the stratified health system; and lack of affordability driven by high overall costs and limited insurance policies.