ArticleJournal of pharmaceutical policy and practice2021
Medication adherence among the elderly: applying grounded theory approach in a developing country.
Article in Journal of pharmaceutical policy and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 15 citations in OpenAlex.
- Promoting Medication Adherence in the Elderly: Factors and Insights From a Cross-Sectional Study.Aging medicine (Milton (N.S.W)) · 2025Article
- Medication adherence in geriatric patients attending medical outpatient department.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- "I'm not very skilled in using gadgets:" A qualitative exploration of the facilitators and barriers to using telepharmacy services among Filipino senior citizens.Exploratory research in clinical and social pharmacy · 2024Article
- Medication use Pattern among the Elderly in Iran: A Review Article.International journal of preventive medicine · 2024Review
- Relationship between Treatment Burden, Health Literacy, and Medication Adherence in Older Adults Coping with Multiple Chronic Conditions.Medicina (Kaunas, Lithuania) · 2023Article
- An adapted model of cost-related medication nonadherence among older adult patients with chronic diseases: an Iranian qualitative study.BMC geriatrics · 2023Article
- Medications Non-adherence Reasoning Scale (MedNARS): Development and psychometric properties appraisal.Health promotion perspectives · 2023Article
- Determinants of Medication Non-Adherence Among the Elderly with Co-Existing Hypertension and Type 2 Diabetes Mellitus in Rural Areas of Udupi District in Karnataka, India.Patient preference and adherence · 2023Article
- Factors affecting medication adherence among older adults using tele-pharmacy services: a scoping review.Archives of public health = Archives belges de sante publique · 2022Article
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Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication adherence is an important concept particularly among the elderly that can, directly and indirectly, affect the health system's costs and the elderly's health, quality of life, and functional abilities. This study aimed to determine the model of medication adherence among the Iranian elderly using the grounded theory approach.
methodsThe concept of medication adherence and the determination of its process among the elderly is a multidisciplinary social issue that can be affected by many contextual factors. Grounded theory with the approach of Strauss and Corbin (2004) was applied to determine the customized model. Data triangulation occurred through semi-structured interviews, observation, field notes, and memoing. Open coding, selective coding, and axial coding were applied to analyze the data.
resultsDelinquency in the medication use among the elderly was caused by factors such as doubtfulness, fear of complications, not following the patients by the physicians, and negative others and medical staff's impacts. During the process of medication adherence, the patient's lack of knowledge, lack of sufficient education, inappropriate and restricted lifestyle, difficult living conditions, and social pressures imposed on individuals could exacerbate and worsen the delinquency in medication adherence. It should not be neglected that some other factors such as lack of an effective supervision system, lack of supportive organizations, stakeholders' market-based behaviors, consumption inconvenience, consumption stress, hopelessness, and misunderstanding could also aggravate the delinquency.
conclusionsAlthough the proposed theory and model were customized and context-based for the Iranian elderly, in general, making positive changes in the process of adherence to the medication use among the elderly requires scientific and basic management and planning of its factors. It should be noted that making these changes requires some interventions in and cooperation of all levels of the country's health system, from the Ministry of Health and Medical Education to the individual level of the elderly.
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