title: Patient satisfaction and medication adherence assessment amongst patients at the diabetes medication therapy adherence clinic.
abstract: OBJECTIVE
  To determine the satisfaction and current adherence status of patients with diabetes mellitus at the diabetes Medication Therapy Adherence Clinic and the relationship between patient satisfaction and adherence.
  
  
  METHODS
  This cross-sectional descriptive study was carried out at three government hospitals in the state of Johor, Malaysia. Patient's satisfaction was measured using the Patient Satisfaction with Pharmaceutical Care Questionnaire; medication adherence was measured using the eight-item Morisky Medication Adherence Scale.
  
  
  RESULTS
  Of n=165 patients, 87.0% of patients were satisfied with DMTAC service (score 60-100) with mean scores of 76.8. On the basis of MMAS, 29.1% had a medium rate and 26.1% had a high rate of adherence. Females are 3.02 times more satisfied with the pharmaceutical service compared to males (OR 3.03, 95% CI 1.12-8.24, p<0.05) and non-Malays are less satisfied with pharmaceutical care provided during DMTAC compared to Malays (OR 0.32, 95% CI 0.12-0.85, p<0.05). Older patients age group ≥60 years were 3.29 times more likely to adhere to their medications (OR 3.29, 95% CI 1.10-9.86, p<0.05). Females were the most adherent compared to males (OR 2.33, 95%CI 1.10-4.93, p<0.05) and patients with secondary level of education were 2.72 times more adherent to their medications compared to those in primary school and no formal education (OR 2.72, 95%CI 1.13-6.55, p<0.05). There is a significant (p<0.01), positive fair correlation (r=0.377) between satisfaction and adherence.
  
  
  CONCLUSIONS
  Patients were highly satisfied with DMTAC service, while their adherence levels were low. There is an association between patient satisfaction and adherence.
authors.affiliation: Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Puncak Alam Campus, 42300 Kuala Selangor, Selangor, Malaysia.
authors.forename: Zanariah Abu
authors.initials: ZA
authors.lastname: Bakar
authors.affiliation: Faculty of Pharmacy, Universiti Teknologi MARA (UiTM), Puncak Alam Campus, 42300 Kuala Selangor, Selangor, Malaysia; Pharmaceutical & Life Sciences, Communities of Research, Universiti Teknologi MARA (UiTM), 40450 Shah Alam, Selangor Darul Ehsan, Malaysia.
authors.forename: Mathumalar Loganathan
authors.initials: ML
authors.lastname: Fahrni
authors.affiliation: School of Pharmacy, Monash University, Jalan Lagoon Selatan, Bandar Sunway, 45700 Subang Jaya, Selangor, Malaysia. Electronic address: tahir.mehmood@monash.edu.
authors.forename: Tahir Mehmood
authors.initials: TM
authors.lastname: Khan
mesh_terms: D000554:Ambulatory Care Facilities; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000188:drug therapy* / Q000523:psychology; D005260:Female; D006296:Health Services; D006801:Humans; D016015:Logistic Models; D008297:Male; D010349:Patient Compliance; D017060:Patient Satisfaction / Q000208:ethnology*; D012737:Sex Factors
keywords: Adherence; DMTAC; Morisky medication adherence scale; Patient satisfaction