Realities of ambulatory multi-drug treatment of XXXX in rural areas of Lublin Province, eastern Poland - comparison of situations in 2010 and 2013.

@entity1 @entity102
INTRODUCTION: The economic stratification observed for many years among the population in Poland, increasing poverty rates, especially those being effects of the current economic crisis in the country, and the rising prices of medicines, are potential risk factors for medication non-adherence among @entity1 in the poorest class of the Polish population. Materials an method. The subjects were 2 groups of inhabitants of rural areas of Lublin Province in eastern Poland. The first consisted of 209 @entity1 aged 52-80 years who were surveyed in 2010, the second - 210 @entity1 aged 51-88 years, surveyed in 2013. All @entity1 were outpatients who attended the Endocrine Clinic in Poniatowa. The studies were conducted with the use of the standardized survey questionnaire. RESULTS: The problem of medication non-adherence among the surveyed was evident and has risen from 43.1% in 2010 to 54.8% in 2013. Both in 2010 and in 2013, the main reasons for this state of affairs were the financial problems of the surveyed @entity1 . During the period 2010-2013, both expenditure on medicine as well as the ratio " @entity1 ' expenditure on medicine/expenditure on food" had increased. In 2010, 25 respondents per 209 (12%) expressed the opinion that they had always had sufficient means to buy necessary medications, in 2013 - only 3 per 210 (1.5%). CONCLUSIONS: In 2013, most of surveyed @entity1 (54.8%) did not follow prescribed treatment plans (in 2010-43.1%). In most cases, medication non-adherence were the result of financial problems. Current regulations governing refunding of the costs of medicines may make effective ambulatory treatment of @entity102 impossible.
