Research in Community and Public Health Nursing

Original Articles

The Effect of Copayment on Medical Aid Beneficiaries in Korea: Jin Joo Oh, Jeong Myung Choi, Hyun Joo Lee; J Korean Acad Community Health Nurs. 2015;26(1):11-17. Published online March 31, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.1.11

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PURPOSE
This study was to ascertain whether there are differences in health care utilization and expenditure for Type I Medical Aid Beneficiaries before and after applying Copayment.
METHODS
This study was one-group pretest posttest design study using secondary data analysis. Data for pretest group were collected from claims data of the Korea National Health Insurance Corporation and data for posttest group were collected through door to-door interviews using a structured questionnaire. A total of 1,364 subjects were sampled systematically from medical aid beneficiaries who had applied for copayment during the period from December 12, 2007 to September 25, 2008.
RESULTS
There was no negative effect of copayment on accessibility to medical services, medication adherence (p=.94), and quality of life (p=.25). Some of the subjects' health behaviors even increased preferably after applying for copayment including flu prevention (p<.001), health care examination (p=.035), and cancer screening (p=.002). However, significant suppressive effects of copayment were found on outpatient hospital visiting days (p<.001) and outpatient medical expenditure (p<.001).
CONCLUSION
Copayment does not seem to be a great influencing factor on beneficiaries'accessibility to medical services and their health behavior even though it has suppressive effects on outpatients' use of health care.

Citations

Citations to this article as recorded by

Impact of co-payment for outpatient utilization among Medical Aid beneficiaries in Korea: A 5-year time series study
Ki-Bong Yoo, Hong-Uk Ahn, Eun-Cheol Park, Tae Hyun Kim, Sun Jung Kim, Jeoung A Kwon, Sang Gyu Lee
Health Policy.2016; 120(8): 960. CrossRef

Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey: Eun Hee Cho, Chung Yul Lee, In Sook Kim, Tae Wha Lee, Gwang Suk Kim, Hyeon Kyeong Lee, Ji Sook Ko, Kyong Eun Lee; J Korean Acad Community Health Nurs. 2013;24(4):419-426. Published online December 31, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.4.419

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Abstract PDF

PURPOSE
The purpose of this study is to examine factors influencing medication adherence in patients with hypertension.
METHODS
This study carried out a secondary analysis of data from the 2008 Korean National Health and Nutrition Examination Survey (KNHANES). Stratified sampling was used to select a participant sample that was representative of patients with hypertension throughout the country. Using the SPSS/WIN 18.0 program, data were analyzed using descriptive statistics, chi2 test, t-test, and logistic regression.
RESULTS
Of the patients with hypertension, 8.8% had showed non-adherence to medication. Medication adherence was associated with age, spouse, Medicare insurance, number of other diseases, and current smoking status. The cases with older age, a spouse, Medicare insurance, higher number of other diseases, and no current smoking status showed significantly high medication adherence.
CONCLUSION
Nursing interventions and further studies are needed to achieve high levels of medication adherence based on factors influencing medication adherence such as age, spouse, Medicare insurance, number of other disease, and current smoking status.

Citations

Citations to this article as recorded by

Factors Influencing the Control of Hypertension According to the Gender of Older Adults
Hye Young Choi, Eunha Kim
Healthcare.2023; 11(11): 1595. CrossRef
Association between Patient Experience and Medication Compliance of Dyslipidemia: Using Korea National Health and Nutrition Examination Survey (2015)
Ho-Hyoun Yim, Hwan-Sik Hwang, Hoon-Ki Park, Kye-Yeung Park, Miso Park
Korean Journal of Family Medicine.2021; 42(2): 116. CrossRef
Medication Adherence and Effective Management of Hypertension
Seung-Won Oh
Korean Journal of Family Medicine.2021; 42(2): 89. CrossRef
Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef
Real-World Effectiveness and Safety of a Single-Pill Combination of Olmesartan/Amlodipine/Hydrochlorothiazide in Korean Patients with Essential Hypertension (RESOLVE): A Large, Observational, Retrospective, Cohort Study
Sung-Ji Park, Si Jae Rhee
Advances in Therapy.2020; 37(8): 3500. CrossRef
Factors Associated with Awareness, Treatment, and Control Rate of Hypertension among Korean Young Adults Aged 30–49 Years
Yong Woo Jeon, Hyeon Chang Kim
Korean Circulation Journal.2020; 50(12): 1077. CrossRef
Psychological Resistance to Drug Therapy in Patients with Hypertension: A Qualitative Thematic Analysis
Jiyeon Kang, Yeon Jin Jeong
Korean Journal of Adult Nursing.2020; 32(2): 124. CrossRef
Health Behaviors and Quality of Life in the Elderly with High Blood Pressure
So-Youn Bang, Sa-Sang Hyeon
Journal of Digital Contents Society.2018; 19(11): 2159. CrossRef

Factors Influencing the Stages of Change in Medication Adherence in Patients with Hypertension: Young Soon Byeon, Soon Ock Kim, Jeong Hyun Cho; J Korean Acad Community Health Nurs. 2012;23(2):189-200. Published online June 30, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.2.189

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Abstract PDF

PURPOSE
The purpose of this study is to identify factors associated with the stages of change in medication adherence in patients with hypertension.
METHODS
Participants were 323 patients with hypertension. Sociodemographic/medication-related characteristics, stages of change, processes of change, self efficacy and decisional balance were self-administered.
RESULTS
Stages of change were significantly different according to gender, age, job and living arrangement. A multinominal logistic regression analysis has revealed that gender, age, living arrangement, self-liberation, and self-efficacy were significantly associated with the precontemplation stage. Age and self-liberation were significantly associated with the contemplation stage. Gender, age, living arrangement, and self-liberation were significantly associated with the preparation stage. Gender and helping relationship were significantly associated with the action stage. This model explained 52.0% of the stages of change in medication adherence.
CONCLUSION
The tailored intervention strategies based on the stages of change may be needed for improving medication adherence in patients with hypertension.

Citations

Citations to this article as recorded by

Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension
Yang Heui Ahn, Young Mi Lim, KiYon Kim, Ki-Kyoung Kim, Hee-Young Song
Journal of Korean Public Health Nursing.2016; 30(1): 105. CrossRef
Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419. CrossRef

The Development and Effects of a Medication Adherence Intervention Program for Hypertensive Patients: Soon Ock Kim; J Korean Acad Community Health Nurs. 2011;22(3):342-354. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.342

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3 Citations

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PURPOSE
This study was to estimate the effectiveness of an intervention program using the trans-theoretical model on the stages of change, the process of change, decisional balance, self-efficacy, the levels of medication adherence, and blood pressure difference.
METHODS
A similar experiment was conducted using a nonequivalent control group pre- and post-test design. The study subjects were 108 hypertensive patients. The program was administered to the experimental group while educational materials were given to the control group. Descriptive analysis, 2-test, t-test, and repeated measures ANOVA were used with SPSS 17.0 to analyze collected data.
RESULTS
After treatment with this program, the experimental group showed stage of change (chi2=52.917, p<.001), cognitive (F=13,528, p<.001), behavioral process of change (F=10.808, p<.001), benefits (F=5.569, p=.012), loss of medication adherence (F=15.661, p<.001), self-efficacy (F=5.407, p=.011), levels of medication adherence (F=51.442, p<.001).
CONCLUSION
There was a significant improvement in the experimental group who participated in the TTM medication adherence intervention program. Given that this intervention program motivated and stimulated hypertensive patients to adhere to the prescribed medications, the TTM medication adherence intervention program is expected to be an effective and practical intervention method for health improvement.

Citations

Citations to this article as recorded by

Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension
Eunha Gil, Heeyoung Oh
Journal of Korean Academy of Nursing.2018; 48(5): 521. CrossRef
Development of tailored nutrition information messages based on the transtheoretical model for smartphone application of an obesity prevention and management program for elementary-school students
Ji Eun Lee, Da Eun Lee, Kirang Kim, Jae Eun Shim, Eunju Sung, Jae-Heon Kang, Ji-Yun Hwang
Nutrition Research and Practice.2017; 11(3): 247. CrossRef
Factors Influencing Medication Adherence in Patients with Hypertension: Based on the 2008 Korean National Health and Nutrition Examination Survey
Eunhee Cho, Chung Yul Lee, Insook Kim, Taewha Lee, Gwang Suk Kim, Hyeonkyeong Lee, Jisook Ko, Kyongeun Lee
Journal of Korean Academy of Community Health Nursing.2013; 24(4): 419. CrossRef

Medication Status and Adherence of the Elderly under Home Care Nursing: Young Hee Kim, Mi Kyoung Lee, Sung Ja Lee, Myung Sook Cho, Moon Sook Hwang; J Korean Acad Community Health Nurs. 2011;22(3):290-301. Published online September 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.3.290

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11 Citations

Abstract PDF

PURPOSE
This study is a descriptive research intended to clarify the medication status of community-dwelling elders and to identify factors affecting their medication adherence.
METHODS
Data were collected using questionnaires and interviews from 101 subjects who had taken prescribed drugs for at least 7 days sampled among elderly people using home care nursing at a general hospital in Seoul.
RESULTS
According to the results of this study, medication adherence measured by pill counting was 88.3% and that measured by self-reporting was 94.6%. There were statistically significant differences in medication adherence according to major disease (p=.006), the number of admissions (p=.032), the number of drugs (p=.051), the frequency of medication (p=.026), and depression (r=-.205). In addition, depression was found to be a significant variable explaining the medication adherence with explanatory power 3.8% (p=.035).
CONCLUSION
The presence of depression affected the elderly subjects' the medication adherence. Therefore, more concern and educational approaches are required to encourage elderly people to comply correctly with medication regimens particularly for elderly patients who have a malignant or long-lasting disease or who have to take multiple drugs or maintain a daily dosing frequency.

Citations

Citations to this article as recorded by

Analysis of the prescription trends of potentially inappropriate medications in Korean older outpatients by sex: A retrospective study using data from the health insurance review and assessment service
Jae-Yong Dong, Jin-Han Ju, Young-Mo Yang
Medicine.2023; 102(34): e34818. CrossRef
Perceived New Normal and Inner Strength on Quality of Life in Breast Cancer Patients Receiving Adjuvant Endocrine Therapy
Sujin Ha, Eunjung Ryu
Asia-Pacific Journal of Oncology Nursing.2021; 8(4): 377. CrossRef
Factors Associated with Medication Adherence among the Elderly with Chronic Diseases
Sook Hee Kang, Eun Ko
Korean Journal of Adult Nursing.2021; 33(2): 189. CrossRef
Factors Influencing 1-Year Medication Adherence of Korean Ischemic Stroke Survivors
Gye-Gyoung Kim, Duck-Hee Chae, Man-Seok Park, Sung-Hee Yoo
International Journal of Behavioral Medicine.2020; 27(2): 225. CrossRef
Correlation of physical, psychological, and functional factors with independent medication adherence in Korean older adults with chronic illness: Using the 2017 national survey of older Koreans
Hae Ok Jeon
Archives of Gerontology and Geriatrics.2020; 90: 104130. CrossRef
Adjusting Process of Nurses to an Oriental Medical Unit
Mee-Hun Lee, Hyoung-Sook Park, Jae-Hyun Ha
Korean Journal of Adult Nursing.2017; 29(6): 615. CrossRef
Analysis of the Job of Nurses Working on Oriental Medicine Wards
Myung Ja Kim, Mi Hwan Kim, Hee Sug Jeong, Yun Seo Kim
Journal of Korean Academy of Nursing Administration.2015; 21(4): 341. CrossRef
Predictors of Asthma Control by Stepwise Treatment in Elderly Asthmatic Patients
Ga-Young Ban, Young-Min Ye, Yunhwan Lee, Jeong-Eun Kim, Young-Hee Nam, Soo-Keol Lee, Joo-Hee Kim, Ki-Suck Jung, Sang-Ha Kim, Hae-Sim Park
Journal of Korean Medical Science.2015; 30(8): 1042. CrossRef
Factors Influencing Medication Adherence in Hemodialysis Patients: Focusing on Primary and Secondary Medical Care
Yon Hee Seo, Sun Og Lim, Eun Hee Hyeon, Hae Won Kim, Mi Ran Eom
Perspectives in Nursing Science.2015; 12(1): 60. CrossRef
Medication Status and the Effects of a Medication Management Education Program for the Elderly in a Community
Young-Im Park, Kang-Yi Lee, Dong-Oak Kim, Dong Choon Uhm, Ji-Hyun Kim
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 170. CrossRef
Health Literacy: An Evolutionary Concept Analysis
Sungeun Kim, Jina Oh, Yunmi Lee
The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 558. CrossRef

Factors Influencing Medication Adherence in Hypertensive Patients: Yeong Mi Seo; J Korean Acad Community Health Nurs. 2010;21(1):82-91. Published online March 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.1.82

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9 Citations

Abstract PDF

PURPOSE
The purpose of this study was to identify factors that influence medication adherence in patients with hypertension.
METHODS
One hundred sixty two patients with hypertension who visited the outpatient clinics of health centers in J City participated in the study. Data were collected through a questionnaire survey done from January 9 to February 25, 2008. To analyze the sample survey data, descriptive statistics, t-test, ANOVA, Scheffe's test, and multiple regression analysis were performed with SPSS/WIN 12.0.
RESULTS
Significant factors that affect medication adherence in patients with hypertension were autonomous motivation, competence, health status, and sex. These variables explained 24% of medication adherence (F=12.48, p<.001).
CONCLUSION
The results indicate that in order to improve the medication adherence of patients with hypertension it is important to develop nursing programs that focus on autonomous motivation and competence and to give consideration to differences in health status and sex. Also further studies are needed to confirm autonomous motivation related to health behavior in patients with hypertension.

Citations

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An Education-Counseling Program for Young Prehypertensive Adults
Eunhee Jo, Soon-jung Hwang, Eun- jin Jeong, Minsun Kim
Clinical Nursing Research.2023; 32(2): 349. CrossRef
Drug Attitude and Medication Adherence of Patients with Early Psychosis in South Korea: Mediating Effect of Medication Adherence Self-Efficacy
Yoon-A Choi, Young-Ran Kweon
Patient Preference and Adherence.2023; Volume 17: 1247. CrossRef
Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension
Eunha Gil, Heeyoung Oh
Journal of Korean Academy of Nursing.2018; 48(5): 521. CrossRef
The effects of medication adherence and health literacy on health‐related quality of life in older people with hypertension
Nam Hee Park, Mi Sook Song, So Young Shin, Ji‐hye Jeong, Hyo Young Lee
International Journal of Older People Nursing.2018;[Epub] CrossRef
The Effects of Adherence and Hypertension Control on Complication among Newly Diagnosed Hypertension Patients
Jin-Ok Han, Jun Yim, Jeong-Soo Im, Hee Young Lee, Jong Heon Park, Dae-kyu Oh
Health Policy and Management.2015; 25(2): 90. CrossRef
The Relationship between Psychological Needs and Health Promoting Behavior in Community-dwelling Older Women

Journal of East-West Nursing Research.2015; 21(2): 126. CrossRef
A Study on Relationships between Health Literacy, Disease-related Knowledge and Compliance to Medical Recommendations in Patients with Hypertension
Myung Soon Kwon, Ghee-Young Noh, Ji Hye Jang
Journal of Korean Public Health Nursing.2013; 27(1): 190. CrossRef
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Jeong Hye Kim
Asian Oncology Nursing.2012; 12(3): 213. CrossRef
Impact of Health Literacy on Disease-related Knowledge and Adherence to Self-care in Patients with Hypertension
Youn-Jung Son, Eun-Kyeung Song
Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 6. CrossRef

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