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

Author

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  • Kang-Ju Son

    (Research Institute for Healthcare Policy, Korean Medical Association, Seoul 04373, Korea)

  • Hyo-Rim Son

    (Hongcheon County Hypertension and Diabetes Registration and Education Center, Kangwon Province, Hongcheon 25135, Korea)

  • Bohyeun Park

    (Hongcheon County Health Center, Kangwon Province, Hongcheon 25135, Korea)

  • Hee-Ja Kim

    (Hoengseong County Health Center, Kangwon Province, Hoengseong 25220, Korea)

  • Chun-Bae Kim

    (Hongcheon County Hypertension and Diabetes Registration and Education Center, Kangwon Province, Hongcheon 25135, Korea
    Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju 26426, Korea
    Institute for Poverty Alleviation and International Development, Yonsei University, Wonju 26493, Korea)

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.

Suggested Citation

  • Kang-Ju Son & Hyo-Rim Son & Bohyeun Park & Hee-Ja Kim & Chun-Bae Kim, 2019. "A Community-Based Intervention for Improving Medication Adherence for Elderly Patients with Hypertension in Korea," IJERPH, MDPI, vol. 16(5), pages 1-15, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:721-:d:209705
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    References listed on IDEAS

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    1. Ji-Yeon Shin & Jiseun Lim & Myung Ki & Yeong-Jun Song & Heeran Chun & Dongjin Kim, 2018. "An Assessment of Magnitudes and Patterns of Socioeconomic Inequalities across Various Health Problems: A Large National Cross-Sectional Survey in Korea," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
    2. Meng‐Ping Wu & Shu‐Fang Vivienne Wu & Tsu‐Chi Wang & Mu‐Jung Kao & Wen‐Li Yang, 2012. "Effectiveness of a community‐based health promotion program targeting people with hypertension and high cholesterol," Nursing & Health Sciences, John Wiley & Sons, vol. 14(2), pages 173-181, June.
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    Cited by:

    1. Do Hwa Byun & Rho Soon Chang & Myung-Bae Park & Hyo-Rim Son & Chun-Bae Kim, 2021. "Prioritizing Community-Based Intervention Programs for Improving Treatment Compliance of Patients with Chronic Diseases: Applying an Analytic Hierarchy Process," IJERPH, MDPI, vol. 18(2), pages 1-20, January.
    2. Shiya Gao & Zeyu Wang & Shaoxiang Jiang & Wen Ding & Yuchen Wang & Xiufang Dong, 2022. "Optimization of Work Environment and Community Labor Health Based on Digital Model—Empirical Evidence from Developing Countries," IJERPH, MDPI, vol. 19(20), pages 1-17, October.

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