Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease

Authors

  • Andrea Fabiana Brusa
  • Pedro Domingo Armando
  • Sonia Andrea Naeko Uema

DOI:

https://doi.org/10.31052/1853.1180.v17.n2.6836

Keywords:

diabetes mellitus, drug utilization studies, defined daily dose, programa Córdoba diabetes, diabetes complications

Abstract

Objective: To carry out a drug usage study with diabetic patients treated at Josefina Prieur Hospital (HJP) Villa Allende city (Córdoba, Argentina) to determine anti-diabetic drug consumption, degree of treatment adherence, and amount of patients with complications arising from diabetes.

Method: Observational, descriptive, cross-sectional study carried out on diabetic patients treated at the HJP belonging to the program “Programa Córdoba Diabetes” (ProCorDia), from May to December 2011. Drug consumption was determined in DDDs per 1000 inhabitants per day. Adherence was defined by the number of drug provisions for each patient during eight months. The presence of complications was obtained from records of drug delivery to patients receiving other medication besides anti-diabetic ones.

Results: From 98 patients, 73 had some type of complication. The consumption of antidiabetic drugs in DDD per 1000 inhabitants per day was: Regular Insulin 1.990, NPH Insulin 6.244, Glibenclamide 2.826, Gliclazide 0.281, Metformin 2.497.

Conclusions: From all anti-diabetic drugs dispensed, 40.50% belonged to subgroup A10B (oral hypoglycemic agents) and 59.50% to subgroup A10A (insulin). Good adherence to drug therapy was observed (mean = 81.63%, mode = 100%). A 74.49% of patients presented complications.

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Author Biographies

Andrea Fabiana Brusa

Lic. en Química Farmacéutica, Farmacia Hospital Josefina
Prieur (Villa Allende).

Pedro Domingo Armando

Dr. en Farmacia, Profesor Asistente, Depto. de Farmacología, Fac. de Ciencias Químicas, UNC (Argentina).

Sonia Andrea Naeko Uema

Mgter. en Ciencias Químicas, Profesora Asistente, Depto. de Farmacia, Facultad de Ciencias Químicas, UNC(Argentina)

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How to Cite

1.
Brusa AF, Armando PD, Naeko Uema SA. Diabetic patients without health coverage: drug use, adherence and complications arising from their underlying disease. Rev. Salud Pública (Córdoba) [Internet]. 2014 Mar. 19 [cited 2024 Jul. 17];17(2):53-692. Available from: https://revistas.unc.edu.ar/index.php/RSD/article/view/6836

Issue

Vol. 17 No. 2 (2013)

Section

Scientific Articles

License

Copyright (c) 2014 Escuela de Salud Pública y Ambiente. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba

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