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KMID : 1170320230290020087
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Korean Journal of Health Economics and Policy
2023 Volume.29 No. 2 p.87 ~ p.107
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Patient-doctor communication and medication adherence of the disabled with hypertension or diabetes
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Jeon Bo-Young
Yoon Jeong-Won
Lee Rak-Hyun
Lee Han-Bin
Han Eun-A
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Abstract
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This study examined the patient-doctor communication and medication adherence of hypertensive and diabetic patients with and without disabilities. Using the 2018 Korean Health Panel Survey, the study included 3,465 hypertensive patients and 1,470 diabetic patients, of whom 443(12.8%) and 196(13.6%) were disabled, respectively. The dependent variables were "insufficient understanding of medical staff conversation" and "medication non-adherence," defined as not taking prescription drugs or non-adherence to taking instructions, and logistic regression analysis were performed. Among hypertensive patients, 22.6% of those with disabilities and 17.8% of those without disabilities reported difficulties understanding patient-doctor communication. Among diabetic patients, the rates were 20.9% for those with disabilities and 16.6% for those without disabilities. Medication non-adherence rates were similar between disabled(8.0%) and non-disabled(8.1%) in hypertensive patients, but higher among disabled(10.7%) than non-disabled(6.9%) in diabetic patients. Logistic regression analyses adjusting for individual characteristics revealed that hypertensive patients with visual, hearing, or linguistic impairments were more likely to experience communication difficulties with medical staff. Patients with physical disabilities also showed higher odds ratio of medication non-adherence among diabetic patients. Although demographic characteristics and underlying diseases may differ between patients with and without disabilities, this study showed that patient-doctor communication and medication adherence challenges faced by individuals with chronic diseases, particularly those with disabilities, and is meaningful as basic data for health management policies for the disabled with chronic disease.
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KEYWORD
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Disability, Health communication, Medication adherence, Chronic disease, Korea Health Panel
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