Author
Listed:
- Michel Tiv
- Jean-François Viel
- Frédéric Mauny
- Eveline Eschwège
- Alain Weill
- Cécile Fournier
- Anne Fagot-Campagna
- Alfred Penfornis
Abstract
Background: Adherence to prescribed medications is a key dimension of healthcare quality. The aim of this large population-based study was to evaluate self-reported medication adherence and to identify factors linked with poor adherence in patients with type 2 diabetes in France. Methodology: The ENTRED study 2007, a French national survey of people treated for diabetes, was based on a representative sample of patients who claimed reimbursement for oral hypoglycaemic agents and/or insulin at least three times between August 2006 and July 2007, and who were randomly selected from the database of the two main National Health Insurance Systems. Medication adherence was determined using a six-item self-administered questionnaire. A multinomial polychotomous logistic regression model was used to identify factors associated with medication adherence in the 3,637 persons with type 2 diabetes. Principal Findings: Thirty nine percent of patients reported good medication adherence, 49% medium adherence and 12% poor adherence. The factors significantly associated with poor adherence in multivariate analysis were socio-demographic factors: age 8% and existing diabetes complications; and health care-related factors: difficulties for taking medication alone, decision making by the patient only, poor acceptability of medical recommendations, lack of family or social support, need for information on treatment, reporting no confidence in the future, need for medical support and follow-up by a specialist physician. Conclusions: In a country with a high level of access to healthcare, our study demonstrated a substantial low level of medication adherence in type 2 diabetic patients. Better identification of those with poor adherence and individualised suitable recommendations remain essential for better healthcare management.
Suggested Citation
Michel Tiv & Jean-François Viel & Frédéric Mauny & Eveline Eschwège & Alain Weill & Cécile Fournier & Anne Fagot-Campagna & Alfred Penfornis, 2012.
"Medication Adherence in Type 2 Diabetes: The ENTRED Study 2007, a French Population-Based Study,"
PLOS ONE, Public Library of Science, vol. 7(3), pages 1-6, March.
Handle:
RePEc:plo:pone00:0032412
DOI: 10.1371/journal.pone.0032412
Download full text from publisher
Citations
Citations are extracted by the
CitEc Project, subscribe to its
RSS feed for this item.
Cited by:
- Pushpanjali Shakya & Archana Shrestha & Biraj Man Karmacharya & Donald E. Morisky & Bård Eirik Kulseng, 2023.
"Factors Associated with Medication Adherence among Patients with Type 2 Diabetes Mellitus: A Hospital-Based Cross-Sectional Study in Nepal,"
IJERPH, MDPI, vol. 20(2), pages 1-11, January.
- D. A. Perwitasari & S. Urbayatun, 2016.
"Treatment Adherence and Quality of Life in Diabetes Mellitus Patients in Indonesia,"
SAGE Open, , vol. 6(2), pages 21582440166, April.
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0032412. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
We have no bibliographic references for this item. You can help adding them by using this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.