A qualitative Study Investigating Perceived Barriers to Medication Adherence in Chronic Illness Patients of Karachi, Pakistan. | [Journal of Pakistan Medical Association • 2019]

Author(s):

1. Atta Abbas Naqvi: Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, University Sains Malaysia (USM), Penang, Malaysia,

2. Mohamed Azmi Hassali: Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, University Sains Malaysia (USM), Penang, Malaysia,

3. Muhammad Tariq Aftab: Department of Pharmacology, College of Medicine, Imam Abdulrahman Bin Faisal University,Dammam,Saudi Arabia

4. Muhammad Nehal Nadir: Faculty of Pharmacy, Ziauddin University,Karachi,Pakistan

Abstract:

Objective: The study aimed to perceived barriers to medication adherence in patients with chronic illnesses. Methods: A qualitative study was conducted in a tertiary care hospital in Karachi in September 2017, using grounded theory and inductive approach. Interviews were conducted using a checklist in Urdu language from patients of chronic illnesses determined based on medicines dispensed from the out-patient pharmacy in hospital. Interviews were recorded, transcribed verbatim, translated in English and validated. The translated quotations were analysed using a qualitative analysis software, and thematic analysis was conducted. Codes were generated and analysed by semantic linkages and network analysis using ATLAS.ti qualitative research software. Results: Of the 16 patients interviewed, 8(50%) were males and 8(50%) were females. Barriers to medication adherence identified were patient behaviour (intentional and un-intentional non-adherence), comorbidity and pill burden, cost-related non-adherence, and low patient knowledge. The last barrier was associated with the rest. Conclusion: Counselling has the potential to increase patient knowledge regarding medication use, and active pharmacist-physician collaboration can improve medication adherence.

Page(s): 216-223

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 69, Issue: 2, Year: 2019

Keywords:

Pakistan , Patients , Chronic illness , Qualitative , Medication adherence

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views