AI Article Synopsis
- A study in Beijing, China, explored the barriers to medication adherence for stroke patients, highlighting the complexities of adherence in low- and middle-income settings.
- The research involved 36 participants, including patients, caregivers, and healthcare providers, and identified four key themes affecting medication adherence: patient knowledge and attitudes, insufficient interaction time with providers, lack of healthcare coordination, and high costs due to limited insurance.
- The findings suggest that addressing these barriers could lead to policy reforms and practice improvements, which could be applied to similar challenges in other urban areas of low- and middle-income countries.
Article Abstract
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.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8359298 | PMC |
| http://dx.doi.org/10.1186/s12913-021-06789-3 | DOI Listing |
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