KMID : 1100920210420020116
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Korean Journal of Family Medicine 2021 Volume.42 No. 2 p.116 ~ p.122
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Association between Patient Experience and Medication Compliance of Dyslipidemia: Using Korea National Health and Nutrition Examination Survey (2015)
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Yim Ho-Hyoun
Hwang Hwan-Sik Park Hoon-Ki Park Kye-Yeung Park Mi-So
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Abstract
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Background: This study aimed to examine the relationship between patient experience and medication compliance of patients with dyslipidemia.
Methods: Based on data from the Korea National Health and Nutrition Examination Survey in 2015, the study examined 764 patients treated with dyslipidemia medication. Subjects who responded to the question ¡°Do you currently take medication to lower your blood cholesterol?¡± with ¡°daily taking¡± were categorized as the compliant group, and the remaining subjects were classified under the non-compliant group. The patient experience survey included four indicators, in which subjects were divided into groups with a positive and negative patient experience. Data on sociodemographic factors, health-related behaviors, and self-reported comorbid conditions were also collected.
Results: After adjusting the variables, the group with a positive response for the patient experience indicator ¡°doctor spends enough time with the patient during consultation¡± was 1.89 times more compliant than the group with a negative response (95% confidence interval [CI], 1.03?3.48; P=0.04). For the indicator ¡°doctor provides easy-to-understand explanations,¡± the group that showed a positive response was 2.74 times more compliant than the group with a negative response (95% CI, 1.39?5.39; P=0.004). For the indicator ¡°doctor involves patients in decisions about care or treatment,¡± the group that showed a positive response was 2.07 times more compliant than the group with a negative response (95% CI, 1.02?4.22; P=0.04). However, for the indicator ¡°doctor provides the patient a chance to ask questions about treatment,¡± positive patient experience had no significant association with medication compliance (95% CI, 0.77?2.36; P=0.30).
Conclusion: Building a good doctor-patient relationship with positive patient experiences can result in better outcomes for patient care through high medication compliance.
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KEYWORD
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Dyslipidemias, Compliance, Medication Adherence, Patient Experience, Patient-Centered Care
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