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postgraduate thesis: Drug adherence of diabetes patients in Hong Kong : a systematic review

TitleDrug adherence of diabetes patients in Hong Kong : a systematic review
Authors
Issue Date2015
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
Citation
Cheung, M. [張敏怡]. (2015). Drug adherence of diabetes patients in Hong Kong : a systematic review. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5661861
AbstractIntroduction The objectives of this study focus on the evaluation of medication adherence of diabetic patients attending public healthcare services in Hong Kong. With the changes in lifestyle and dietary habits, diabetes is being more common in Hong Kong, and it could leadto a lot of severe complications. The high prevalence and disease severity is posing a severe burden on the society. Consequently, it is important to monitor patients’ medication adherence and self-care behaviours. In this paper, apart from evaluating medication adherence, reasons that influence adherence and potential methods for improving adherence will be discussed. Methodology A systematic literature search was conducted for this study and 48 related articles were yielded. After screening with inclusion and exclusion criteria, 5 literatures were selected for the study. A wide range of factors were explored in these studies, such as age, income, lifestyles, comorbidities etc. Results The five selected studies included three cross-sectional studies, one cohort study and one RCT. Although each study used a different approach in assessing adherence, all reported relatively high compliance compared to foreign studies. Factors such as old age, medication review and social support were found to increase adherence, while cognitive impairment, perceived poor health condition and negative mood would reduce adherence. Conclusion Even medication compliance was found to be generally high, there are still patients with poor adherence. Based on the factors found to be related to compliance, more methods for improving adherence could be designed, matching the needs of different patients. In the future, further research need to be done to include larger samples in order to obtain more precise and generalizable results. Healthcare workers should provide more time and effort in evaluating patients’ adherence, and a standard method for assessing medication adherence should be developed.
DegreeMaster of Public Health
SubjectDiabetics - China - Hong Kong
Medication abuse - China - Hong Kong
Patient compliance - China - Hong Kong
Dept/ProgramPublic Health
Persistent Identifierhttp://hdl.handle.net/10722/221747

 

DC FieldValueLanguage
dc.contributor.authorCheung, Man-yee-
dc.contributor.author張敏怡-
dc.date.accessioned2015-12-09T00:20:45Z-
dc.date.available2015-12-09T00:20:45Z-
dc.date.issued2015-
dc.identifier.citationCheung, M. [張敏怡]. (2015). Drug adherence of diabetes patients in Hong Kong : a systematic review. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5661861-
dc.identifier.urihttp://hdl.handle.net/10722/221747-
dc.description.abstractIntroduction The objectives of this study focus on the evaluation of medication adherence of diabetic patients attending public healthcare services in Hong Kong. With the changes in lifestyle and dietary habits, diabetes is being more common in Hong Kong, and it could leadto a lot of severe complications. The high prevalence and disease severity is posing a severe burden on the society. Consequently, it is important to monitor patients’ medication adherence and self-care behaviours. In this paper, apart from evaluating medication adherence, reasons that influence adherence and potential methods for improving adherence will be discussed. Methodology A systematic literature search was conducted for this study and 48 related articles were yielded. After screening with inclusion and exclusion criteria, 5 literatures were selected for the study. A wide range of factors were explored in these studies, such as age, income, lifestyles, comorbidities etc. Results The five selected studies included three cross-sectional studies, one cohort study and one RCT. Although each study used a different approach in assessing adherence, all reported relatively high compliance compared to foreign studies. Factors such as old age, medication review and social support were found to increase adherence, while cognitive impairment, perceived poor health condition and negative mood would reduce adherence. Conclusion Even medication compliance was found to be generally high, there are still patients with poor adherence. Based on the factors found to be related to compliance, more methods for improving adherence could be designed, matching the needs of different patients. In the future, further research need to be done to include larger samples in order to obtain more precise and generalizable results. Healthcare workers should provide more time and effort in evaluating patients’ adherence, and a standard method for assessing medication adherence should be developed.-
dc.languageeng-
dc.publisherThe University of Hong Kong (Pokfulam, Hong Kong)-
dc.relation.ispartofHKU Theses Online (HKUTO)-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works.-
dc.subject.lcshDiabetics - China - Hong Kong-
dc.subject.lcshMedication abuse - China - Hong Kong-
dc.subject.lcshPatient compliance - China - Hong Kong-
dc.titleDrug adherence of diabetes patients in Hong Kong : a systematic review-
dc.typePG_Thesis-
dc.identifier.hkulb5661861-
dc.description.thesisnameMaster of Public Health-
dc.description.thesislevelMaster-
dc.description.thesisdisciplinePublic Health-
dc.description.naturepublished_or_final_version-

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