标题：Realities of ambulatory multi-drug treatment of chronic diseases in rural areas of Lublin Province, eastern Poland – comparison of situations in 2010 and 2013
期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2015
卷号：22
期号：3
页码：530-535
DOI：10.5604/12321966.1167729
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction. The economic stratification observed for many years among the population in Poland, increasing povertyrates, especially those being effects of the current economic crisis in the country, and the rising prices of medicines, arepotential 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 firstconsisted of 209 people aged 52–80 years who were surveyed in 2010, the second – 210 people aged 51–88 years, surveyedin 2013. All patients were outpatients who attended the Endocrine Clinic in Poniatowa. The studies were conducted withthe 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 to54.8% in 2013. Both in 2010 and in 2013, the main reasons for this state of affairs were the financial problems of the surveyedpeople. 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 alwayshad 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 mostcases, medication non-adherence were the result of financial problems. Current regulations governing refunding of thecosts of medicines may make effective ambulatory treatment of chronic diseases impossible
