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Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal

Author

Listed:
  • Daniel Gomes

    (Research Unit for Inland Development—Polytechnic of Guarda (UDI-IPG), 6300 Guarda, Portugal
    Centre for Health Studies and Research of the University of Coimbra, 3000 Coimbra, Portugal)

  • Ana Isabel Placido

    (Research Unit for Inland Development—Polytechnic of Guarda (UDI-IPG), 6300 Guarda, Portugal)

  • Rita Mó

    (Health Sciences Faculty, University of Beira Interior (FCS-UBI), 6200 Covilhã, Portugal)

  • João Lindo Simões

    (Center for Health Technology and Services Research (CINTESIS), 4000 Porto, Portugal)

  • Odete Amaral

    (Health Sciences School, Polytechnic of Viseu IPV, 3430 Viseu, Portugal)

  • Isabel Fernandes

    (Research Unit for Inland Development—Polytechnic of Guarda (UDI-IPG), 6300 Guarda, Portugal)

  • Fátima Lima

    (Local Health Unit of Guarda (ULS Guarda), 6300 Guarda, Portugal)

  • Manuel Morgado

    (Research Unit for Inland Development—Polytechnic of Guarda (UDI-IPG), 6300 Guarda, Portugal
    Health Sciences Faculty, University of Beira Interior (FCS-UBI), 6200 Covilhã, Portugal
    Pharmaceutical Services, University Hospital Center of Cova da Beira (CHUCB), 6200 Covilhã, Portugal
    Health Sciences Research Centre, University of Beira Interior (CICS-UBI), 6200 Covilhã, Portugal)

  • Adolfo Figueiras

    (Department of Preventive Medicine, University of Santiago de Compostela, 15702 Santiago de Compostela, Spain
    Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBER-ESP), 28001 Madrid, Spain)

  • Maria Teresa Herdeiro

    (Department of Medical Sciences and Institute of Biomedicine, University of Aveiro (iBIMED-UA), 3800 Aveiro, Portugal)

  • Fátima Roque

    (Research Unit for Inland Development—Polytechnic of Guarda (UDI-IPG), 6300 Guarda, Portugal
    Health Sciences Research Centre, University of Beira Interior (CICS-UBI), 6200 Covilhã, Portugal)

Abstract

The presence of age-related comorbidities prone elderly patients to the phenomenon of polypharmacy and consequently to a higher risk of nonadherence. Thus, this paper aims to characterize the medication consumption profile and explore the relationship of beliefs and daily medication management on medication adherence by home-dwelling polymedicated elderly people. A questionnaire on adherence, managing, and beliefs of medicines was applied to polymedicated patients with ≥65 years old, in primary care centers of the central region of Portugal. Of the 1089 participants, 47.7% were considered nonadherent. Forgetfulness (38.8%), difficulties in managing medication (14.3%), concerns with side effects (10.7%), and the price of medication (9.2%) were pointed as relevant medication nonadherence-related factors. It was observed that patients who had difficulties managing medicines, common forgetfulness, concerns with side effects, doubting the need for the medication, considered prices expensive, and had a lack of trust for some medicines had a higher risk of being nonadherent. This study provides relevant information concerning the daily routine and management of medicines that can be useful to the development of educational strategies to promote health literacy and improve medication adherence in polymedicated home-dwelling elderly.

Suggested Citation

  • Daniel Gomes & Ana Isabel Placido & Rita Mó & João Lindo Simões & Odete Amaral & Isabel Fernandes & Fátima Lima & Manuel Morgado & Adolfo Figueiras & Maria Teresa Herdeiro & Fátima Roque, 2019. "Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal," IJERPH, MDPI, vol. 17(1), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2019:i:1:p:200-:d:302533
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    Citations

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    Cited by:

    1. Maria do Carmo Vilas Boas Sousa & Elizabeth do Nascimento & Simone de Araújo Medina Mendonça & Clarice Chemello, 2023. "Professionals’ and Patients’ Perspectives on Criteria for Referring Hypertensive Patients to Comprehensive Medication Management Services in Public Primary Health Care," IJERPH, MDPI, vol. 20(7), pages 1-12, March.
    2. Ana Isabel Plácido & Maria Teresa Herdeiro & João Lindo Simões & Odete Amaral & Adolfo Figueiras & Fátima Roque, 2020. "Voices of Polymedicated Older Patients: A Focus Group Approach," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
    3. Marta Estrela & Maria Teresa Herdeiro & Pedro Lopes Ferreira & Fátima Roque, 2020. "The Use of Antidepressants, Anxiolytics, Sedatives and Hypnotics in Europe: Focusing on Mental Health Care in Portugal and Prescribing in Older Patients," IJERPH, MDPI, vol. 17(22), pages 1-12, November.
    4. Ana Margarida Alves & Alexandre Rodrigues & Pedro Sa-Couto & João Lindo Simões, 2021. "Effect of an Educational Nursing Intervention on the Mental Adjustment of Patients with Chronic Arterial Hypertension: An Interventional Study," IJERPH, MDPI, vol. 19(1), pages 1-22, December.
    5. Wenwen Cao & Chenglin Cao & Xin Zheng & Kai Ji & Qiming Liang & Yunwei Wu & Zhi Hu & Zhongliang Bai, 2022. "Factors Associated with Medication Adherence among Community-Dwelling Older People with Frailty and Pre-Frailty in China," IJERPH, MDPI, vol. 19(23), pages 1-10, November.
    6. Maria dos Anjos Dixe & Joana Pinho & Filipa Pereira & Henk Verloo & Carla Meyer-Massetti & Sónia Gonçalves Pereira, 2023. "Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    7. Carlotta Franchi & Monica Ludergnani & Luca Merlino & Alessandro Nobili & Ida Fortino & Olivia Leoni & Ilaria Ardoino, 2022. "Multiple Medication Adherence and Related Outcomes in Community-Dwelling Older People on Chronic Polypharmacy: A Retrospective Cohort Study on Administrative Claims Data," IJERPH, MDPI, vol. 19(9), pages 1-12, May.
    8. Ana Rita Paiva & Ana Isabel Plácido & Isabel Curto & Manuel Morgado & Maria Teresa Herdeiro & Fátima Roque, 2021. "Acceptance of Pharmaceutical Services by Home-Dwelling Older Patients: A Case Study in a Portuguese Community Pharmacy," IJERPH, MDPI, vol. 18(14), pages 1-9, July.

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