ArticleBMC medicine2024
Medication adherence in patients with type 2 diabetes after disability onset: a difference-in-differences analysis using nationwide data.
Article in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Article
- Sociodemographic and disease-related factors associated with treatment adherence among patients with type 2 diabetes: a cross-sectional study in southern Iran.BMC public health · 2026Article
- Increased Risk of End-Stage Kidney Disease After Traumatic Amputation: Nationwide Cohort Study.Healthcare (Basel, Switzerland) · 2025Article
- Factors Influencing Medication Non-Adherence in Patients with Chronic Diseases and Disabilities: Insights from a National Survey in Indonesia.Patient preference and adherence · 2025Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundEffectively managing the coexistence of both diabetes and disability necessitates substantial effort. Whether disability onset affects adherence to type 2 diabetes medication remains unclear. This study investigated whether disability onset reduces such adherence and whether any reduction varies by disability type.
methodsThis study used the National Disability Registry and National Health Insurance Research Database from Taiwan to identify patients with type 2 diabetes who subsequently developed a disability from 2013 to 2020; these patients were matched with patients with type 2 diabetes without disability onset during the study period. Type 2 diabetes medication adherence was measured using the medication possession ratio (MPR). A difference-in-differences analysis was performed to determine the effect of disability onset on the MPR.
resultsThe difference-in-differences analysis revealed that disability onset caused a reduction of 5.76% in the 1-year MPR (P < 0.001) and 13.21% in the 2-year MPR (P < 0.001). Among all disability types, organ disabilities, multiple disabilities, rare diseases, and a persistent vegetative state exhibited the largest reductions in 2-year MPR.
conclusionsPolicies aimed at improving medication adherence in individuals with disabilities should consider not only the specific disability type but also the distinct challenges and barriers these patients encounter in maintaining medication adherence.
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