Realities of ambulatory multi-drug treatment of chronic diseases in rural areas of Lublin Province, eastern Poland – comparison of situations in 2010 and 2013

Barbara Kołłątaj 1, Irena Dorota Karwat 1, Witold Kołłątaj 2, Katarzyna Sygit 3, Marian Sygit 4
1 - Chair and Department of Epidemiology, Medical University, Lublin, Poland
2 - Department of Paediatric Endocrinology and Diabetology, Medical University, Lublin, Poland
3 - Department of Health Promotion, Faculty of Physical Education and Health Promotion, University of Szczecin, Poland
4 - Department of Health Education, Faculty of Physical Education and Health Promotion, University of Szczecin, Poland
Ann Agric Environ Med
2015; 22 (3):
ICID: 1167729
Article type: Original article
Introduction. The economic stratification observed for many years among the population in Poland, increasing poverty rates, especially those being effects of the current economic crisis in the country, and the rising prices of medicines, are potential risk factors for medication non-adherence among patients in the poorest class of the Polish population.
Materials an method. The subjects were 2 groups of inhabitants of rural areas of Lublin Province in eastern Poland. The first consisted of 209 people aged 52–80 years who were surveyed in 2010, the second – 210 people aged 51–88 years, surveyed in 2013. All patients were outpatients who attended the Endocrine Clinic in Poniatowa. The studies were conducted with the use of the standardized survey questionnaire.
Results. The problem of medication non-adherence among the surveyed was evident and has risen from 43.1% in 2010 to 54.8% in 2013. Both in 2010 and in 2013, the main reasons for this state of affairs were the financial problems of the surveyed people. During the period 2010–2013, both expenditure on medicine as well as the ratio “patients’ expenditure on medicine/expenditure on food” had increased. In 2010, 25 respondents per 209 (12%) expressed the opinion that they had always had sufficient means to buy necessary medications, in 2013 – only 3 per 210 (1.5%).
Conclusions. In 2013, most of surveyed patients (54.8%) did not follow prescribed treatment plans (in 2010–43.1%). In most cases, medication non-adherence were the result of financial problems. Current regulations governing refunding of the costs of medicines may make effective ambulatory treatment of chronic diseases impossible.
DOI: 10.5604/12321966.1167729
PMID 26403129 - click here to show this article in PubMed

Recommend this article to:


Related articles in IndexCopernicus™
     medication non-adherence [0 related records]
     Poverty [601 related records]
     chronic disease [5 related records]
     rural areas [6 related records]


Related articles

P Bunio-Mroczek,
Becoming a teenage father. Having a baby as a turn...
The paper reflects on the impact of fatherhood on lives of young men, brought up in multiproblem families in poverty enclaves in a post-industrial city, namely Lodz. Empirical grounds of the text are 27 biographical interviews carried out within a re...
Financial Inclusion, Focus on Romanian Migrants an...
This paper aims to analyze financial inclusion of a particular segment that struggles most: the unbanked migrants, focusing on Romanian migrants and their families. It’s a common understanding that financial inclusion plays an important role in po...
R Krzemień, A Ogurek,
Ubóstwo energetyczne a bezpieczeństwo społeczn...
W artykule poruszono tematykę związaną z wpływem zmian cen energii na jakość życia społeczeństwa. Autorzy próbują ustalić adekwatność definicji ubóstwa energetycznego do polskich realiów oraz określić, jak rosnące koszty e...