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All Journal INDONESIAN JOURNAL OF PHARMACY
Gusti Noorrizka Veronika Ahmad
Universitas Airlangga
Medicine & Pharmacology

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The Influence of Medication Days’ Supply on Adherence and Cost of Hypertensive Patients at Primary Health Care Centre Mufarrihah, Mufarrihah; Setiawan, Catur Dian; Wathaniah, Nurul; Rahmaniah, Atikah; Maharani, Primanda Ayu; Mahmudah, Azzahroh Sifa’ Lailiyah; Achmad, Gusti Noorrizka Veronika
Indonesian Journal of Pharmacy Vol 28 No 4, 2017
Publisher : Faculty of Pharmacy Universitas Gadjah Mada, Yogyakarta, Skip Utara, 55281, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1050.253 KB) | DOI: 10.14499/indonesianjpharm28iss4pp213

Abstract

Primary Health Care Centre is known have policy discrepancy with the supply of medicines. This can influence the adherence and costs incurred by patients. The study aimed to identify the influence for hypertensive patients at Primary Health Care Centre in Surabaya. This study was designed cross sectional and data collection was done by using ARMS questionnaires for the patient's adherence and interview for the cost. Cost was calculated based on the frequency of real visits and monthly patient expenditures. Direct medical cost, direct non medical cost, and indirect cost were included based on patients’ perspective. Direct observations were done to calculate the days of drug supplies. A total of 406 patients from 50 Health Care Centre were included in the study. Days of drug supplies ranged from 3 to 30 days; total ARMS scores ranged from 12 to 33; and the total cost obtained ranged from IDR 34,965 to IDR 239,528. The Spearman’s correlation test sought to obtain the significant influence of medication days’ supply on adherence with p value 0.0001 and r = -0.347. While medication days’ supply didn't show any significant influence on the cost. It will be significant if the patient met the visit schedule, that was p value 0.0001 and r = -0.247. It is recommended to prolong antihypertensive days’ supply in order to improve patients' adherence, as well as to reduce cost expensed by patients.
Co-Authors Maharani, Primanda Ayu Mahmudah, Azzahroh Sifa’ Lailiyah Mufarrihah, Mufarrihah Rahmaniah, Atikah SETIAWAN, Catur Dian Wathaniah, Nurul