Next Article in Journal
The Effect of Special Medical Examination for Night Shift Workers and Follow-Up Management Against Hypertension
Next Article in Special Issue
Barriers and Enabling Factors Affecting Satisfaction and Safety Perception with Use of Bicycle Roads in Seoul, South Korea
Previous Article in Journal / Special Issue
Chronic Diseases & Employment: An Overview of Existing Training Tools for Employers
Article Menu
Issue 5 (March-1) cover image

Export Article

Open AccessArticle

A Community-Based Intervention for Improving Medication Adherence for Elderly Patients with Hypertension in Korea

1
Research Institute for Healthcare Policy, Korean Medical Association, Seoul 04373, Korea
2
Hongcheon County Hypertension and Diabetes Registration and Education Center, Kangwon Province, Hongcheon 25135, Korea
3
Hongcheon County Health Center, Kangwon Province, Hongcheon 25135, Korea
4
Hoengseong County Health Center, Kangwon Province, Hoengseong 25220, Korea
5
Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
6
Institute for Poverty Alleviation and International Development, Yonsei University, Wonju 26493, Korea
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(5), 721; https://doi.org/10.3390/ijerph16050721
Received: 16 December 2018 / Revised: 15 February 2019 / Accepted: 21 February 2019 / Published: 28 February 2019
(This article belongs to the Collection Health Behaviors, Risk Factors, NCDs and Health Promotion)
  |  
PDF [924 KB, uploaded 28 February 2019]
  |     |  

Abstract

The chronic disease management program, a community-based intervention including patient education, recall and remind service, and reduction of out-of-pocket payment, was implemented in 2005 in Korea to improve patients’ adherence for antihypertensive medications. This study aimed to assess the effect of a community-based hypertension intervention intended to enhance patient adherence to prescribed medications. This study applied a non-equivalent control group design using the Korean National Health Insurance Big Data. Hongcheon County has been continuously implementing the intervention program since 2012. This study involved a cohort of patients with hypertension aged >65 and <85 years, among residents who lived in the study area for five years (between 2010 and 2014). The final number of subjects was 2685 in both the intervention and control region. The indirect indicators were analyzed as patients’ adherence and level of continuous treatment using the difference-in-difference regression. The proportion of hypertensive patients who continuously received insurance benefits for >240 days in 2014 was 81.0% in the intervention region and 79.7% in the control region. The number of dispensations per prescription and the dispensation days per hypertensive patient in the intervention region increased by approximately 10.88% and 2.2 days on average by month, respectively, compared to those in the control region. The intervention program encouraged elderly patients with hypertension to receive continuous care. Another research is needed to determine whether further improvement in the continuity of comprehensive care will prevent the progression of cardiovascular diseases. View Full-Text
Keywords: hypertension; medication adherence; community-based intervention; difference-in-difference regression hypertension; medication adherence; community-based intervention; difference-in-difference regression
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Son, K.-J.; Son, H.-R.; Park, B.; Kim, H.-J.; Kim, C.-B. A Community-Based Intervention for Improving Medication Adherence for Elderly Patients with Hypertension in Korea. Int. J. Environ. Res. Public Health 2019, 16, 721.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top