Indexing
CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học
Abstract
Background: Chronic diseases are the leading cause of death worldwide. Medication adherence is a critical factor in improving treatment efficacy and reducing patient costs.
Objectives: (1) To survey the general characteristics of patients receiving treatment for chronic diseases at the Hue Family Medicine Clinic; (2) To assess home medication adherence among these patients using the GMAS scale.
Materials and methods: A cross-sectional descriptive study was conducted on 127 patients with chronic diseases (diabetes, hypertension, dyslipidemia, other cardiovascular diseases) at the Family Medicine Clinic from July 2024 to September 2024. Medication adherence was evaluated using the GMAS scale.
Results: The mean age of the patients was 63.48 ± 8.65years. On average, patients had 2.23 ± 0.88 primary/comorbid conditions and were prescribed 2.77 ± 1.31 medications. The rate of high medication adherence was 92.1%. However, approximately 30-50% of patients occasionally or frequently forgot their medication due to being busy, traveling, attending social events, or having difficulty remembering. About 20% of patients "frequently or occasionally" discontinued medication on their own, and 28.3% self-adjusted their daily medication regimen.
Conclusion: Interventions are needed to minimize forgetfulness due to changes in routine and to address the self-adjustment of treatment regimens, which may stem from a lack of knowledge or ineffective communication with physicians. Future patient counseling and education programs should focus on these two specific aspects.
| Published | 2026-08-25 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 16 No. 04 (2026) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2026.4.794 | |
| Keywords | chronic disease, medication adherence, General Medication Adherence Scale chronic disease, medication adherence, General Medication Adherence Scale |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2026 Hue Journal of Medicine and Pharmacy
World Health Organization. Noncommunicable diseases: Key facts [Internet]. Geneva: World Health Organization; 2025 [cited 2026 Apr 23]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
World Health Organization. Caring for people with noncommunicable diseases in Viet Nam: the nearest health care is often the best health care [Internet]. Geneva: World Health Organization; 2024 [cited 2026 Apr 23]. Available from: https://iris.who.int/handle/10665/376251
Zhang Y, Flory JH, Bao Y. Chronic Medication Nonadherence and Potentially Preventable Healthcare Utilization and Spending Among Medicare Patients. J Gen Intern Med 2022;37:3645–52. doi: 10.1007/s11606-021-07334-y
Ho PM, Magid DJ, Shetterly SM, Olson KL, Maddox TM, Peterson PN, et al. Medication nonadherence is associated with a broad range of adverse outcomes in patients with coronary artery disease. Am Heart J 2008;155:772–9. doi: 10.1016/j.ahj.2007.12.011
Simpson SH, Lin M, Eurich DT. Medication Adherence Affects Risk of New Diabetes Complications: A Cohort Study. Ann Pharmacother 2016;50:741–6. doi: 10.1177/1060028016653609
Ly HHV, Le NNM, Ha MTT, Diep HG, Lam AN, Nguyen TTT, et al. Medication Adherence in Vietnamese Patients with Cardiovascular and Endocrine-Metabolic Diseases. Healthc Basel Switz 2022;10:1734. doi: 10.3390/healthcare10091734
Le HT, Luu TT, Nguyen TBH, Tran THO, Pham TT. Factors Predicting Medication Adherence in Patients with Chronic Obstructive Pulmonary Disease: Evidence from a Cross-Sectional Study. J Caring Sci 2025;14:73–9. doi: 10.34172/jcs.025.33204
Naqvi AA, Hassali MA, Rizvi M, Zehra A, Iffat W, Haseeb A, et al. Development and Validation of a Novel General Medication Adherence Scale (GMAS) for Chronic Illness Patients in Pakistan. Front Pharmacol 2018;9:1124. doi: 10.3389/fphar.2018.01124
Nguyen TH, Truong HV, Vi MT, Taxis K, Nguyen T, Nguyen KT. Vietnamese Version of the General Medication Adherence Scale (GMAS): Translation, Adaptation, and Validation. Healthcare 2021;9:1471. doi: 10.3390/healthcare9111471.
Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet 2012;380:37–43. doi: 10.1016/S0140-6736(12)60240-2
Khezrian M, McNeil CJ, Murray AD, Myint PK. An overview of prevalence, determinants and health outcomes of polypharmacy. Ther Adv Drug Saf 2020;11:2042098620933741. doi: 10.1177/2042098620933741
2023 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2023 Jul;71(7):2052-2081. doi: 10.1111/jgs.18372
Ho AH, Nguyen MT, Dirk D, Stefan H, Vo T, Thang TB, et al. Hypertension knowledge and its associated factors among hypertensive patients in primary care settings in Central Vietnam: A cross-sectional study. J Pharm Pharmacogn Res 2024;12:943–55. doi: 10.56499/jppres24.1955_12.5.943
Miller TA. Health literacy and adherence to medical treatment in chronic and acute illness: A meta-analysis. Patient Educ Couns 2016;99:1079–86. doi: 10.1016/j.pec.2016.01.020
Lê TH, Nguyễn NH. Evaluation of drug prescribing in the elderly inpatients using Beers criteria updated in 2019. Ho Chi Minh City J Med 2020;24:122
Fernandez-Lazaro CI, García-González JM, Adams DP, Fernandez-Lazaro D, Mielgo-Ayuso J, Caballero-Garcia A, et al. Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study. BMC Fam Pract 2019;20:132. doi: 10.1186/s12875-019-1019-3
Haskard Zolnierek KB, DiMatteo MR. Physician Communication and Patient Adherence to Treatment: A Meta-Analysis. Med Care 2009;47:826–34. doi: 10.1097/MLR.0b013e31819a5acc
Friis K, Lasgaard M, Osborne RH, Maindal HT. Gaps in understanding health and engagement with healthcare providers across common long-term conditions: a population survey of health literacy in 29 473 Danish citizens. BMJ Open 2016;6:e009627. doi: 10.1136/bmjopen-2015-009627
Fredericksen RJ, Gibbons L, Brown S, Edwards TC, Yang FM, Fitzsimmons E, et al. Medication understanding among patients living with multiple chronic conditions: Implications for patient-reported measures of adherence. Res Soc Adm Pharm 2018;14:540–4. doi: 10.1016/j.sapharm.2017.06.009
Conn VS, Ruppar TM. Medication adherence outcomes of 771 intervention trials: Systematic review and meta-analysis. Prev Med 2017;99:269–76. doi: 10.1016/j.ypmed.2017.03.008
Tu P, Smith D, Clark R, Bayzle L, Tu R, Lin C. Patients’ Characterization of Medication, Emotions, and Incongruent Perceptions around Adherence. J Pers Med 2021;11:975. doi: 10.3390/jpm11100975