Key result
~94% of hypertensive patients on monotherapy show poor medication adherence at an Indonesian community clinic.
Why the study?
Adherence is a particular concern in treating hypertension because non-adherence might cause uncontrolled hypertension.
Observational (n=780)
No
The vast majority (93.6%) of hypertensive patients on monotherapy at an Indonesian community health center demonstrated poor medication adherence, highlighting a critical gap in hypertension management.
High nonadherence in this cohort cautions against assuming monotherapy success; leaves open whether targeted interventions improve control.
Adherence is a particular concern in treating hypertension, and non-adherence to antihypertensive drugs might cause uncontrolled hypertension. This study aimed to measure retrospectively the medication adherence of hypertensive patients with monotherapy treatment in a community health center (Puskesmas) in Bandung city, Indonesia. The retrospective patient data from 2011 to 2015 were obtained from an electronic prescription database. The patient data of those diagnosed with hypertension, >18 years old, and who received mono-antihypertensive therapy within a 12-month period were included in this study. To assess medication adherence, the medication possession ratio (MPR) was applied. Out of 780 patients, 93.6% of patients showed poor adherence, about 5.8% showed intermediate adherence, and 0.6% of patients had high adherence. Males and females showed different levels of adherence (p<0.05). Efforts should be focused on obtaining optimum clinical benefits and strengthening the effectiveness of health systems in Indonesia.
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Puspitasari et al. (2022) conducted an observational in Hypertension (n=780). Antihypertensive monotherapy was evaluated on Poor medication adherence (Medication Possession Ratio <50%). Among hypertensive patients receiving monotherapy at an Indonesian community health center, 93.6% demonstrated poor medication adherence (Medication Possession Ratio <50%).
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