Oral Antidiabetic Drug Consumption Adherence in Primary Health Care through PRECEDE Method

2020 ◽  
Vol 13 (2) ◽  
pp. 543
Author(s):  
Emy Puji Wijayanti ◽  
Liza Pristianty ◽  
Azza Faturrohmah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Consumption ◽  
Antidiabetic Drug ◽  
Oral Antidiabetic Drug ◽  
Primary Health ◽  
Oral Antidiabetic

Follow-Up Evaluation on Oral Antidiabetic Drug Use: A Study of Effectiveness, Safety and Patient Adherence in Surabaya Primary Health Care

2018 ◽  
Vol 9 (4) ◽  
Author(s):  
Lisa Aditama ◽  
Umi Athiyah ◽  
Wahyu Utami ◽  
Abdul Rahem
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Therapy ◽  
Patient Adherence ◽  
Adherence Behavior ◽  
Primary Health ◽  
Oral Antidiabetic ◽  
Study Results ◽  
Gastrointestinal Problems

Medication non-adherence is one of the biggest causes of leftover medicines. Up to 50% of patients worldwide do not take their prescribed medicines as recommended. Optimising the use of medication is beneficial to improving clinical outcomes for patients with chronic disease. Purpose: The aim of this study was to determine the effectiveness and safety of drug therapy, evaluate patient adherence, and identify of the patient's non-adherence behavior for oral antidiabetic drugs (OADs). Methods: This study using non-experimental design, with mixed-methods (explanatory sequential design). A total of 32 patients with type 2 diabetes mellitus in referral program of national health care security system (BPJS Kesehatan) were included in this study from Primary Health Care in the north region of Surabaya. There are 6 domains of adherence behavior developed in this study. Results: The effectiveness of drug therapy in this study was 56,25%. About 68,75% of patients experienced to hypoglycemia and 6,25% had gastrointestinal problems caused by drug therapy. The adherence assessment found that 43,75% patients non adherence to medication. Leftover medicines found in the patient's home comes from multiple visits to health care facilities (53,12%) and patient non-adherence (37,5%). Conclusion: Follow-up evaluation as the continuous process in medication management services, led pharmacist in the strategic position to evaluates the patient's response to drug therapies in terms of effectiveness, safety, adherence and also avoiding unnecessary leftover medicines.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

Helping rural Vietnam meet its primary health care goals

2000 ◽  
Author(s):  
Judith Blakeley ◽  
Lan Gien ◽  
Purnima Sen ◽  
Maureen Laryea
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health
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