Oral And Written Medication Information in Resource-Limited Settings: Quality, Perceptions, Barriers, And Impact on Adherence

Year 2025, Volume: 45 Issue: 4, 300 - 315, 01.12.2025

Widyastiwi Widyastiwi , Mohammad Roseno

https://doi.org/10.52794/hujpharm.1607393

Abstract

Pharmacists are essential in providing medication information via oral and written communication. Marked inequalities in sociodemographics characteristics, literacy rates, service quality, and treatment challenges are particularly pronounced among patients with chronic diseases in high income compared with resource-limited settings. This study aimed to evaluate the quality of medication information, perceptions of oral and written communication, barriers to access, information-seeking behaviors, and their influence on medication adherence in resource-limited settings. A cross-sectional survey was performed with 399 people with chronic disease at public health facilities and hospitals in Bandung, Indonesia. Logistic regression research indicated that patients encountering barriers in obtaining medication information were markedly less likely to comply with therapy (OR=5.878, p<0.05). Interestingly, patients seeking additional information from physicians or the internet also had a higher likelihood of non-adherence (OR = 2.126, p<0.05 and OR = 3.536, p<0.05, respectively). These findings highlight the critical role of pharmacist in providing accurate, accessible, and effectively conveyed medicine information, both in oral and written form, to enhance adherence in chronic patients. Improved strategies to address this barriers and support patient adherence is essential in resource-limited settings.

Keywords

oral medicine information , written medicine information , barriers of medicine information , information-seeking behaviour , adherence.

Ethical Statement

The study protocol has been reviewed by The Research Ethics Committee of The Ministry of Health Polytechnic of Bandung and deemed ethically acceptable in May 13th, 2024 (Ref No. 68/KEPK/EC/V/2024). Additionally, the study received approval and oversight from the Institutional Review Board of Hospitals involved and from Municipal Health Office of Bandung. Prior to study, all patients completed a written consent form, indicating their voluntary participation in completing the questionnaire.

Supporting Institution

Ministry of Health Polytechnic of Bandung, Ministry of Health.

Project Number

DP.04.04/F.XVIII/934/2024

Thanks

The authors would like to express their gratitude to The Ministry of Health of Indonesia and Poltekkes Kemenkes Bandung for funding this study, Municipal Health Office of Bandung for their authorization, and to the Public Health Centers, and Hospital that participated in this study.

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