Journal of Neuropsychiatry

How is care complexity associated with medication confidence and adherence? An analysis of the SAFEPHASE study in Singapore

13^th World congress on Alzheimers and Dementia
December 06-07, 2018 Amsterdam, Netherlands

Stacey Ying Guo, Heather Whitson, Truls Ostbye, Alison Luciano and Rahul Malhotra

Duke University, USA Duke-NUS Medical School, Singapore

Posters & Accepted Abstracts: J Neurol Neurosci

DOI: 10.21767/2471-8548-C1-003

Abstract

As the number of patients with high morbidity and medication burden increases, it is important to understand care patterns and patient behaviors in complex populations. Few studies on confidence and medication adherence have been conducted among older East Asian populations. The aim of this study was to investigate whether older adults who demonstrate care complexity (multiple providers or outpatient healthcare visits) express varying levels of confidence in medication use and non-adherence. Participants of a nationally representative survey of older Singaporeans were selected for analysis (N=1302). Associations of interest were assessed using logistic regression, controlling for age, gender, ethnicity, education, medications and comorbidities. Compared to participants who had no visits to a provider in the past 3 months, participants with one visit to a single provider (OR=3.05, 95% CI 1.81-5.14), two visits-each to a different provider (OR=2.49, 95% CI 1.34-4.65) and multiple visits or providers (OR=2.51, 95% CI 1.62-5.03) expressed lower confidence in medication use. There was no association between care complexity and medication non-adherence. Among older Singaporeans, high care complexity was associated with lower confidence in medication use, but not to medication non-adherence.

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