A multicenter study treatment adherence of hypertension focused on primary health care in Indonesia

Abstract

Objective: Hypertension today has a remained a focus in developing countries. This study aim was to determine the treatment adherence measured by the 8-item Morisky Medication Adherence Scale (MMAS-8) in hypertensive outpatients. Methods: A cross-sectional study was carried out with hypertensive patients older than 18 y, treated at eight of the primary health care in Special Region of Yogyakarta through interviews, between January and April 2016. Adherence was determined by MMAS-8 version translated for this study. Results: The patients consider low adherence (score<6), moderate adherence (score 6–7) and high adherence when they had a score equal to 8 at the MMAS-8. The prevalence of adherence among the 233 patients in primary health care showed the majority was lower adherence (57.90%), the moderate adherence (30.25%) and the high adherence (11.82%). The average adherence value according to the MMAS-8 was 5.2 (±1.7). Conclusion: Non-adherence treatments of hypertensive outpatients in primary health care was highest through application of MMAS-8