Community Engagement Fostering Medication Adherence for Non-Communicable Disease Patients in Tamot District, Phatthalung Province
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Abstract
This study was action research conducted in Tamot District, Phatthalung Province to develop an effective model for enhancing medication adherence of non-communicable disease patients. It consisted of problem analysis, model development based on community engagement theory, implementation, and evaluation. In-depth interviews were performed with a total of 39 participants in the community, including the local patients with chronic diseases, healthcare professional in both Tamot Hospital and Subdistrict Health Promotion Hospitals (SHPHs), pharmacists in local drug store, and related persons who involved patient's medication. Data collection was conducted between October 2022 and June 2023. An effective approach that could foster medication adherence for patients with chronic diseases consisted of the existing health service components in both public and private sectors of the community. These components were invited to collaborate and designed to connect with the patients information to promote medication adherence. All patients participating in the study had improved medication adherence, and the number of remaining pills was found correlated with the number of appointment days. The consequence clinical outcomes report was satisfied. In addition, this study has found an emerging fact that patients neighborhoods were valuable in the patient medication adherence process especially for patients who live alone. They help convince and influence patients belief in medication. Finally, the created model in this study might be called “Medication Adherence Community Engagement Model” (MACE model).
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