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Older people's knowledge of the purpose of drugs prescribed at primary care appointments
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  • Romana Santos Gama,
  • Luiz Carlos Passos,
  • Welma Wildes Amorim,
  • Renato Morais Souza,
  • Hévila Maciel Queiroga,
  • Jessica Caline Macedo,
  • Larissa Gusmão de Oliveira Nunes,
  • Márcio Galvão Oliveira
Romana Santos Gama
Universidade Federal da Bahia
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Luiz Carlos Passos
Universidade Federal da Bahia
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Welma Wildes Amorim
Universidade Estadual do Sudoeste da Bahia
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Renato Morais Souza
UFBA
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Hévila Maciel Queiroga
Hospital Santa Izabel
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Jessica Caline Macedo
UFBA
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Larissa Gusmão de Oliveira Nunes
Popular Pharmacy
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Márcio Galvão Oliveira
Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia
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Abstract

Rationale, aims and objectives: Patient adherence to medication is related to successful pharmacotherapy; however, many patients do not take their medications as prescribed because of poor understanding of their purpose.This study aimed to assess older people’s knowledge of the purpose of drugs prescribed at medical appointments in primary care units and the possible factors related to their level of knowledge about their medications. Method: This was a cross-sectional study conducted in 22 basic health units in Brazil. Older people from this sample who were treated in a primary care setting were interviewed after a consultation with a family practice physician. Data were collected from September 2016 to March 2019. Patients aged ≥ 60 years who visited the primary care units were included in the study (n = 674). Knowledge of prescribed medications was assessed by comparing the responses to the questionnaire and the medication and prescription information. Multivariate analyses were conducted using a Poisson regression with robust variance. Results: The mean age of the sample was 70.1 (standard deviation: ± 7.1) years. Among 674 patients, 272 (40.4%) did not know the indication of at least one of their prescribed drugs; among them 78 (11.6%) did not know the indication of any of their prescribed drugs. In the final multivariate analysis, polypharmacy, illiteracy, and cognitive impairment were found to be associated with misunderstanding the purpose of at least one prescribed drug. Moreover, illiteracy and cognitive impairment were associated with a greater misunderstanding of the purpose of all prescribed drugs. Conclusions: In the studied sample, patients demonstrated a high rate of misunderstanding of the purpose of prescribed drugs. Therefore, it is necessary for health services and professionals to implement strategies that increase the quality of the guidance and instructions given to older people in order to promote adherence to treatment.

Peer review status:UNDER REVIEW

16 Apr 2021Submitted to Journal of Evaluation in Clinical Practice
16 Apr 2021Assigned to Editor
16 Apr 2021Submission Checks Completed
27 Apr 2021Reviewer(s) Assigned