Barriers to medication adherence in a rural-urban dual economy: a multi-stakeholder qualitative study

Background 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 adherence extend far beyond individual behavior change, particularly in low- and middle-income countr...

Full description

Saved in:
Bibliographic Details
Published in:BMC health services research Vol. 21; no. 1; pp. 1 - 9
Main Authors: Xu, Jacqueline, Zhao, Mengxi, Vrosgou, Athina, Yu, Natalie Chin Wen, Liu, Chelsea, Zhang, Han, Ding, Chunxi, Roth, Noelle Wyman, Pan, Yuesong, Liu, Liping, Wang, Yilong, Wang, Yongjun, Bettger, Janet Prvu
Format: Journal Article
Language:English
Published: London BioMed Central 12.08.2021
BioMed Central Ltd
Springer Nature B.V
BMC
Subjects:
Antihypertensives
Behavior
Bilingualism
Caregivers
Chronic diseases
Data analysis
Developing Countries
Diabetes
Disease prevention
Drug therapy
Health Administration
Health care policy
Health Informatics
Health services
Hospitals
Insurance policies
Interviews
Ischemia
Medical research
Medication Adherence
Medicine
Medicine & Public Health
Medicine, Experimental
Noncommunicable Diseases
Nursing Research
Patient compliance
Pharmaceutical industry
Prevention
Public Health
Qualitative Research
Stakeholders
Stroke
Stroke patients
System theory
China
Beijing China
United States > US
Medication Adherence
Stroke
Developing Countries
Noncommunicable Diseases
Qualitative Research
ISSN:1472-6963, 1472-6963
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background 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 adherence extend 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 in Beijing, China, identifying opportunities to improve care and policy in resource-constrained settings. Methods We conducted a qualitative, phenomenological analysis of data obtained from 36 individuals. Participants were patients; caregivers; healthcare providers; and representatives from industry and government, purposively selected 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. Results 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. Conclusions 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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-021-06789-3