Ladner Joel, Alshurafa Sawsan, Madi Farah, Nofal Anas, Jayasundera Roshel, Saba Joseph, Audureau Etienne
Department of Epidemiology & Health Promotion, Rouen University Hospital, Rouen, France.
Axios International, Dublin, Ireland.
J Comp Eff Res. 2022 Feb;11(3):179-192. doi: 10.2217/cer-2021-0177. Epub 2021 Nov 22.
Poor adherence to chronic disease therapy is a critical global problem that negatively effects the long-term therapy for chronic diseases, resulting in negative population health and economic effects. The WHO multidimensional model proposed a systems-based approach for improving adherence to chronic disease therapy. In the current study, the WHO five-dimension framework was used to evaluate factors among, chronic-disease patients in the United Arab Emirates. We show that patient's understanding of disease, involvement in treatment decision, age more than 40 years, time spent with physician and fear of how patients were perceived by others were the most predictive factors associated with a high ability to self-manage a chronic disease. Sociocultural factors have an indirect impact on disease self-management.
慢性病治疗依从性差是一个严重的全球性问题,对慢性病的长期治疗产生负面影响,导致不良的人群健康和经济影响。世界卫生组织的多维模型提出了一种基于系统的方法来提高慢性病治疗的依从性。在本研究中,世界卫生组织的五维框架被用于评估阿联酋慢性病患者中的相关因素。我们发现,患者对疾病的理解、参与治疗决策、年龄超过40岁、与医生相处的时间以及担心他人对自己的看法是与慢性病自我管理能力高最相关的预测因素。社会文化因素对疾病自我管理有间接影响。