[Noncompliance with the medical prescription in primary care in a rural setting].

Abstract:

OBJECTIVE:To assess the level of initial non-compliance with treatment. DESIGN:An observational study with interviews of patients, which compared prescriptions filled at the Siruela Health Centre (Badajoz) with those dispensed at the town's only pharmacy. SETTING:Primary Care; rural ambit. RESULTS:8,100 prescriptions were filled for an attending population of 3,100 people. 218 (2.7%) were not collected at the pharmacy. Non-compliance was considerably greater among active workers (4%) than pensioners (2%) (Z = 5.3; p < 0.001). Non-compliance was also greater when prescriptions were written by locums at weekends or on bank holidays (8.6%) than when they were written by the normal doctor (2.2%) (Z = 9.8, p < 0.001). 50.9% of prescriptions not collected were for pensioners on Social Security and 49.1% for the active population. Causes of non-compliance indicated by the patients were: medicine had little effect (33%), high price (28.4%) and not financed by the National Health System (26.6%). 32.6% of the cases of non-compliance were followed up; 64.8% of them returned to the consultation. CONCLUSIONS:Better information to patients on their pathologies and treatments would avoid many cases of non-compliance.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Mateos Campos R,Camacho Alvarez M

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

41-6

issue

1

eissn

0212-6567

issn

1578-1275

journal_volume

19

pub_type

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