Using the Pharmaceutical Collection Database to identify patient adherence to oral hypoglycaemic medicines
Identifies levels of sub-optimal adherence to oral hypoglycaemic medicines among people with type 2 diabetes, and those patient groups who may need additional adherence support. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for...
Saved in:
Published in | Journal of primary health care Vol. 11; no. 3; pp. 265 - 274 |
---|---|
Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Australia
01.09.2019
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Identifies levels of sub-optimal adherence to oral hypoglycaemic medicines among people with type 2 diabetes, and those patient groups who may need additional adherence support. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence. |
---|---|
AbstractList | INTRODUCTION Poor adherence to oral hypoglycaemic medicines is a key contributor to therapy failure and sub-optimal glycaemic control among people with type 2 diabetes. It is unclear how commonly non-adherence to oral hypoglycaemics occurs in the general population. This information is essential to design and implement local adherence strategies. AIM This study aimed to determine levels of sub-optimal adherence and identify patient groups who may need additional adherence support. METHODS The dispensing data of 340,283 patients from one District Health Board was obtained from the Pharmaceutical Collection Database for the period 2008-15. Of these, 12,405 patients received oral hypoglycaemic therapy during the study period. The proportion of days covered (PDC) was calculated for patients with complete data and a PDC value of ≥80% was used to indicate sufficient adherence. Patient demographics (gender, ethnicity, age, socioeconomic status) and therapy type (mono- or combination) were described. RESULTS Overall, 54.5% of the patients were found to have a PDC of <80% and so were considered non-adherent. Non-adherence was significantly higher in patients receiving combination oral hypoglycaemic therapy than monotherapy; in male patients; in New Zealand Māori patients; and in patients with higher socioeconomic deprivation. DISCUSSION In the study region, non-adherence to oral hypoglycaemic medicines was significant and widespread. Identification of such patients is important so that strategies to enhance adherence can be implemented. Prescribers need to be encouraged to optimise monotherapy before the addition of another oral hypoglycaemic, and adherence support services should be offered not only to older patients. ABSTRACT INTRODUCTIONPoor adherence to oral hypoglycaemic medicines is a key contributor to therapy failure and sub-optimal glycaemic control among people with type 2 diabetes. It is unclear how commonly non-adherence to oral hypoglycaemics occurs in the general population. This information is essential to design and implement local adherence strategies. AIMThis study aimed to determine levels of sub-optimal adherence and identify patient groups who may need additional adherence support. METHODSThe dispensing data of 340,283 patients from one District Health Board was obtained from the Pharmaceutical Collection Database for the period 2008–15. Of these, 12,405 patients received oral hypoglycaemic therapy during the study period. The proportion of days covered (PDC) was calculated for patients with complete data and a PDC value of ≥80% was used to indicate sufficient adherence. Patient demographics (gender, ethnicity, age, socioeconomic status) and therapy type (mono- or combination) were described. RESULTSOverall, 54.5% of the patients were found to have a PDC of <80% and so were considered non-adherent. Non-adherence was significantly higher in patients receiving combination oral hypoglycaemic therapy than monotherapy; in male patients; in New Zealand Māori patients; and in patients with higher socioeconomic deprivation. DISCUSSIONIn the study region, non-adherence to oral hypoglycaemic medicines was significant and widespread. Identification of such patients is important so that strategies to enhance adherence can be implemented. Prescribers need to be encouraged to optimise monotherapy before the addition of another oral hypoglycaemic, and adherence support services should be offered not only to older patients. Identifies levels of sub-optimal adherence to oral hypoglycaemic medicines among people with type 2 diabetes, and those patient groups who may need additional adherence support. Source: National Library of New Zealand Te Puna Matauranga o Aotearoa, licensed by the Department of Internal Affairs for re-use under the Creative Commons Attribution 3.0 New Zealand Licence. |
Author | Braund, Rhiannon Kharjul, Mangesh D Cameron, Claire |
Author_xml | – sequence: 1 fullname: Kharjul, Mangesh D – sequence: 2 fullname: Cameron, Claire – sequence: 3 fullname: Braund, Rhiannon |
BackLink | https://natlib-primo.hosted.exlibrisgroup.com/primo-explore/search?query=any,contains,999018406402837&tab=innz&search_scope=INNZ&vid=NLNZ&offset=0$$DView this record in NLNZ https://www.ncbi.nlm.nih.gov/pubmed/32171380$$D View this record in MEDLINE/PubMed |
BookMark | eNo9kEtLAzEUhYMo1hf-Awm40E01ryaTpdRHBUEXuh4yyW2bMpPUSQrWX2-0tXdzLtzvHLjnGO2HGAChc0puKFH0djKmmlC1h44oVWwo6Uju73YpBugspQUpIyQnjB2iAWdUUV6RI7T4SD7McJ4DfpubvjMWVtlb0-JxbFuw2ceA7002jUmAc8TeQch-usZLk31ZsXFz6CHYv2vsi3O-XsZZu7YGOm9xB85bHyCdooOpaROcbfUEfTw-vI8nw5fXp-fx3cvQcsHysOGqYcoAYwqodkCUlsIoyYQcUQquoVrLxmltmqkzXAhnOR0VumqEqOSIn6DrTe6yj58rSLnufLLQtiZAXKWacaVkCVWqoFcb1PYxpR6m9bL3nenXNSX1b7f1tttCXmxDV035aMf9N1mAyw0Q2vBd--Dgq6jWxV0JIgVhFVf8BxU1f_Y |
CitedBy_id | crossref_primary_10_1111_bcp_16069 crossref_primary_10_1071_HCv11n3_ED1 crossref_primary_10_1016_j_rcsop_2022_100175 crossref_primary_10_1371_journal_pone_0271650 crossref_primary_10_1071_HC20043 crossref_primary_10_1186_s41043_023_00459_2 |
Cites_doi | 10.1331/JAPhA.2012.11088 10.1056/NEJMra050100 10.1331/JAPhA.2012.10183 10.2337/dc14-2142 10.1097/00005650-200209000-00009 10.1016/j.dsx.2014.09.001 10.1016/S2213-8587(17)30100-6 10.1016/j.sapharm.2013.08.006 10.2147/PPA.S40736 10.2337/dc15-1194 10.1136/jech.2009.099101 10.1071/HC13234 10.1186/s12913-014-0532-2 10.1007/s40273-015-0268-9 10.1007/s11096-018-0606-z 10.1007/s40266-013-0074-z 10.1345/aph.1E438 10.4103/2277-9531.127541 10.1002/pds.1698 10.1016/j.clinthera.2006.09.021 10.1590/0102-311x00136216 10.2147/PPA.S69651 10.1186/s12913-016-1489-0 10.1016/j.maturitas.2018.02.008 10.1016/j.jsps.2015.02.023 10.2337/dc14-2098 10.1345/aph.1H018 10.1002/pds.1230 10.1111/jcpt.12219 10.1185/03007990903126833 10.1111/j.1524-4733.2009.00543.x 10.1007/s11096-014-9913-1 10.1111/j.1365-2125.2012.04167.x 10.1016/j.jcjd.2012.07.002 10.1016/j.jclinepi.2004.10.012 10.18553/jmcp.2012.18.7.516 10.1371/journal.pone.0080436 10.1111/j.1524-4733.2006.00139.x 10.1136/jech-2013-202744 10.1111/dme.12651 10.1258/jtt.2012.gth105 10.1016/j.sapharm.2015.11.001 10.4065/mcp.2010.0575 10.1097/MLR.0b013e31817924d2 |
ContentType | Journal Article |
DBID | GOM LETOP NPM AAYXX CITATION 7X8 |
DOI | 10.1071/HC19017 |
DatabaseName | Index New Zealand Index New Zealand (Open Access) PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | PubMed CrossRef MEDLINE - Academic |
DatabaseTitleList | PubMed CrossRef |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1172-6156 |
EndPage | 274 |
ExternalDocumentID | 10_1071_HC19017 32171380 999018406402837 |
Genre | Journal Article |
GroupedDBID | --- 04C 44B 5VS AAWTL ADBBV ALMA_UNASSIGNED_HOLDINGS BAWUL BCNDV BMSDO DIK EBD EBS EIHBH EJD F5P GOM GROUPED_DOAJ GX1 IPNFZ KQ8 LETOP OK1 P2P RCO RIG RNS SJN TR2 0R~ NPM AAYXX CITATION 7X8 |
ID | FETCH-LOGICAL-c342t-b37b27ae227e19de07964a76246511edb1996bd99abfda344dc3152278b448653 |
ISSN | 1172-6164 1172-6156 |
IngestDate | Thu Apr 11 21:41:24 EDT 2024 Fri Aug 23 01:22:57 EDT 2024 Thu May 23 23:50:17 EDT 2024 Thu Sep 21 18:41:34 EDT 2023 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 3 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c342t-b37b27ae227e19de07964a76246511edb1996bd99abfda344dc3152278b448653 |
Notes | Archived by the National Library of New Zealand. Includes chart, references, tables Includes links to related electronic resources ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
OpenAccessLink | http://dx.doi.org/10.1071/HC19017 |
PMID | 32171380 |
PQID | 2377679677 |
PQPubID | 23479 |
PageCount | 10 |
ParticipantIDs | proquest_miscellaneous_2377679677 crossref_primary_10_1071_HC19017 pubmed_primary_32171380 nlnz_indexnz_999018406402837 |
PublicationCentury | 2000 |
PublicationDate | 2019-09-01 |
PublicationDateYYYYMMDD | 2019-09-01 |
PublicationDate_xml | – month: 09 year: 2019 text: 2019-09-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | Australia |
PublicationPlace_xml | – name: Australia |
PublicationTitle | Journal of primary health care |
PublicationTitleAlternate | J Prim Health Care |
PublicationYear | 2019 |
References | HC19017R29 Caetano (HC19017R34) 2006; 28 Assawasuwannakit (HC19017R45) 2015; 40 Haynes (HC19017R51) 2008 Vrijens (HC19017R47) 2012; 73 Zhang (HC19017R3) 2017; 5 Kirkman (HC19017R8) 2015; 38 Karve (HC19017R35) 2009; 12 Karve (HC19017R32) 2009; 25 Normansell (HC19017R49) 2017; 4 Cadarette (HC19017R26) 2015; 68 van Driel (HC19017R50) 2016; 12 Wishah (HC19017R53) 2015; 9 Brown (HC19017R16) 2011; 86 Grant (HC19017R2) 2015; 38 Zullig (HC19017R10) 2015; 9 Farmer (HC19017R11) 2016; 39 Gavrielov-Yusim (HC19017R24) 2014; 68 Asif (HC19017R7) 2014; 3 Karve (HC19017R39) 2008; 46 Butt (HC19017R12) 2016; 24 Peterson (HC19017R30) 2007; 10 Mazzali (HC19017R28) 2016; 16 Tan (HC19017R21) 2014; 10 Hatah (HC19017R22) 2014; 36 Adler (HC19017R48) 2017; 4 Krass (HC19017R9) 2015; 32 Vink (HC19017R36) 2009; 18 Sattler (HC19017R41) 2013; 30 Robin DiMatteo (HC19017R17) 2002; 40 Thent (HC19017R6) 2013; 8 Lim (HC19017R54) 2016; 29 Kharjul (HC19017R23) 2018; 40 Kalogianni (HC19017R18) 2011; 5 Osterberg (HC19017R15) 2005; 353 Odegard (HC19017R58) 2005; 39 Rosella (HC19017R27) 2014; 14 Korcegez (HC19017R13) 2017; 23 Chisholm-Burns (HC19017R33) 2012; 52 Omran (HC19017R56) 2012; 36 Kozma (HC19017R37) 2013; 7 Jarab (HC19017R57) 2012; 18 Seib (HC19017R5) 2018; 111 Schneeweiss (HC19017R25) 2005; 58 Andrade (HC19017R38) 2006; 15 Bagge (HC19017R46) 2013; 5 Nieuwlaat (HC19017R52) 2014; 11 Jacobs (HC19017R59) 2012; 52 Hess (HC19017R31) 2006; 40 Seuring (HC19017R4) 2015; 33 Ganguli (HC19017R19) 2016; 10 Jatrana (HC19017R43) 2011; 65 Cassimatis (HC19017R55) 2012; 18 Zhu (HC19017R40) 2014; 2014 Norris (HC19017R44) 2016; 12 |
References_xml | – volume: 52 start-page: 823 year: 2012 ident: HC19017R33 publication-title: J Am Pharm Assoc. doi: 10.1331/JAPhA.2012.11088 contributor: fullname: Chisholm-Burns – volume: 29 start-page: 595 year: 2016 ident: HC19017R54 publication-title: Pak J Pharm Sci. contributor: fullname: Lim – volume: 353 start-page: 487 year: 2005 ident: HC19017R15 publication-title: N Engl J Med. doi: 10.1056/NEJMra050100 contributor: fullname: Osterberg – volume: 52 start-page: 613 year: 2012 ident: HC19017R59 publication-title: J Am Pharm Assoc. doi: 10.1331/JAPhA.2012.10183 contributor: fullname: Jacobs – volume: 38 start-page: 6 year: 2015 ident: HC19017R2 publication-title: Diabetes Care. doi: 10.2337/dc14-2142 contributor: fullname: Grant – volume: 4 year: 2017 ident: HC19017R49 publication-title: Cochrane Database Syst Rev. contributor: fullname: Normansell – volume: 40 start-page: 794 year: 2002 ident: HC19017R17 publication-title: Med Care. doi: 10.1097/00005650-200209000-00009 contributor: fullname: Robin DiMatteo – volume: 9 start-page: 271 year: 2015 ident: HC19017R53 publication-title: Diabetes Metab Syndr. doi: 10.1016/j.dsx.2014.09.001 contributor: fullname: Wishah – volume: 5 start-page: 404 year: 2017 ident: HC19017R3 publication-title: Lancet Diabetes Endocrinol. doi: 10.1016/S2213-8587(17)30100-6 contributor: fullname: Zhang – volume: 10 start-page: 608 year: 2014 ident: HC19017R21 publication-title: Res Social Adm Pharm. doi: 10.1016/j.sapharm.2013.08.006 contributor: fullname: Tan – volume: 2014 start-page: 1294 year: 2014 ident: HC19017R40 publication-title: AMIA Annu Symp Proc. contributor: fullname: Zhu – volume: 7 start-page: 509 year: 2013 ident: HC19017R37 publication-title: Patient Prefer Adherence. doi: 10.2147/PPA.S40736 contributor: fullname: Kozma – year: 2008 ident: HC19017R51 publication-title: Cochrane Database Syst Rev. contributor: fullname: Haynes – volume: 39 start-page: 258 year: 2016 ident: HC19017R11 publication-title: Diabetes Care. doi: 10.2337/dc15-1194 contributor: fullname: Farmer – volume: 65 start-page: 454 year: 2011 ident: HC19017R43 publication-title: J Epidemiol Community Health. doi: 10.1136/jech.2009.099101 contributor: fullname: Jatrana – volume: 5 start-page: 234 year: 2013 ident: HC19017R46 publication-title: J Prim Health Care. doi: 10.1071/HC13234 contributor: fullname: Bagge – volume: 14 start-page: 532 year: 2014 ident: HC19017R27 publication-title: BMC Health Serv Res. doi: 10.1186/s12913-014-0532-2 contributor: fullname: Rosella – volume: 33 start-page: 811 year: 2015 ident: HC19017R4 publication-title: Pharmacoeconomics. doi: 10.1007/s40273-015-0268-9 contributor: fullname: Seuring – volume: 40 start-page: 354 year: 2018 ident: HC19017R23 publication-title: Int J Clin Pharm. doi: 10.1007/s11096-018-0606-z contributor: fullname: Kharjul – volume: 30 start-page: 383 year: 2013 ident: HC19017R41 publication-title: Drugs Aging. doi: 10.1007/s40266-013-0074-z contributor: fullname: Sattler – volume: 39 start-page: 433 year: 2005 ident: HC19017R58 publication-title: Ann Pharmacother. doi: 10.1345/aph.1E438 contributor: fullname: Odegard – volume: 3 start-page: 1 year: 2014 ident: HC19017R7 publication-title: J Educ Health Promot. doi: 10.4103/2277-9531.127541 contributor: fullname: Asif – volume: 18 start-page: 159 year: 2009 ident: HC19017R36 publication-title: Pharmacoepidemiol Drug Saf. doi: 10.1002/pds.1698 contributor: fullname: Vink – volume: 23 start-page: 573 year: 2017 ident: HC19017R13 publication-title: J Manag Care Spec Pharm. contributor: fullname: Korcegez – volume: 28 start-page: 1411 year: 2006 ident: HC19017R34 publication-title: Clin Ther. doi: 10.1016/j.clinthera.2006.09.021 contributor: fullname: Caetano – ident: HC19017R29 doi: 10.1590/0102-311x00136216 – volume: 5 start-page: 157 year: 2011 ident: HC19017R18 publication-title: Health Sci J. contributor: fullname: Kalogianni – volume: 9 start-page: 139 year: 2015 ident: HC19017R10 publication-title: Patient Prefer Adherence. doi: 10.2147/PPA.S69651 contributor: fullname: Zullig – volume: 16 start-page: 234 year: 2016 ident: HC19017R28 publication-title: BMC Health Serv Res. doi: 10.1186/s12913-016-1489-0 contributor: fullname: Mazzali – volume: 111 start-page: 1 year: 2018 ident: HC19017R5 publication-title: Maturitas. doi: 10.1016/j.maturitas.2018.02.008 contributor: fullname: Seib – volume: 10 start-page: 711 year: 2016 ident: HC19017R19 publication-title: Patient Prefer Adherence. contributor: fullname: Ganguli – volume: 68 start-page: 232 year: 2015 ident: HC19017R26 publication-title: Can J Hosp Pharm. contributor: fullname: Cadarette – volume: 24 start-page: 40 year: 2016 ident: HC19017R12 publication-title: Saudi Pharm J. doi: 10.1016/j.jsps.2015.02.023 contributor: fullname: Butt – volume: 38 start-page: 604 year: 2015 ident: HC19017R8 publication-title: Diabetes Care. doi: 10.2337/dc14-2098 contributor: fullname: Kirkman – volume: 40 start-page: 1280 year: 2006 ident: HC19017R31 publication-title: Ann Pharmacother. doi: 10.1345/aph.1H018 contributor: fullname: Hess – volume: 15 start-page: 565 year: 2006 ident: HC19017R38 publication-title: Pharmacoepidemiol Drug Saf. doi: 10.1002/pds.1230 contributor: fullname: Andrade – volume: 40 start-page: 24 year: 2015 ident: HC19017R45 publication-title: J Clin Pharm Ther. doi: 10.1111/jcpt.12219 contributor: fullname: Assawasuwannakit – volume: 25 start-page: 2303 year: 2009 ident: HC19017R32 publication-title: Curr Med Res Opin. doi: 10.1185/03007990903126833 contributor: fullname: Karve – volume: 12 start-page: 989 year: 2009 ident: HC19017R35 publication-title: Value Health. doi: 10.1111/j.1524-4733.2009.00543.x contributor: fullname: Karve – volume: 36 start-page: 503 year: 2014 ident: HC19017R22 publication-title: Int J Clin Pharm. doi: 10.1007/s11096-014-9913-1 contributor: fullname: Hatah – volume: 73 start-page: 691 year: 2012 ident: HC19017R47 publication-title: Br J Clin Pharmacol. doi: 10.1111/j.1365-2125.2012.04167.x contributor: fullname: Vrijens – volume: 36 start-page: 292 year: 2012 ident: HC19017R56 publication-title: Can J Diab. doi: 10.1016/j.jcjd.2012.07.002 contributor: fullname: Omran – volume: 58 start-page: 323 year: 2005 ident: HC19017R25 publication-title: J Clin Epidemiol. doi: 10.1016/j.jclinepi.2004.10.012 contributor: fullname: Schneeweiss – volume: 12 year: 2016 ident: HC19017R50 publication-title: Cochrane Database Syst Rev. contributor: fullname: van Driel – volume: 18 start-page: 516 year: 2012 ident: HC19017R57 publication-title: J Manag Care Pharm. doi: 10.18553/jmcp.2012.18.7.516 contributor: fullname: Jarab – volume: 8 year: 2013 ident: HC19017R6 publication-title: PLoS One. doi: 10.1371/journal.pone.0080436 contributor: fullname: Thent – volume: 11 year: 2014 ident: HC19017R52 publication-title: Cochrane Database Syst Rev. contributor: fullname: Nieuwlaat – volume: 10 start-page: 3 year: 2007 ident: HC19017R30 publication-title: Value Health. doi: 10.1111/j.1524-4733.2006.00139.x contributor: fullname: Peterson – volume: 68 start-page: 283 year: 2014 ident: HC19017R24 publication-title: J Epidemiol Community Health. doi: 10.1136/jech-2013-202744 contributor: fullname: Gavrielov-Yusim – volume: 32 start-page: 725 year: 2015 ident: HC19017R9 publication-title: Diabet Med. doi: 10.1111/dme.12651 contributor: fullname: Krass – volume: 18 start-page: 447 year: 2012 ident: HC19017R55 publication-title: J Telemed Telecare. doi: 10.1258/jtt.2012.gth105 contributor: fullname: Cassimatis – volume: 12 start-page: 893 year: 2016 ident: HC19017R44 publication-title: Res Social Adm Pharm. doi: 10.1016/j.sapharm.2015.11.001 contributor: fullname: Norris – volume: 4 year: 2017 ident: HC19017R48 publication-title: Cochrane Database Syst Rev. contributor: fullname: Adler – volume: 86 start-page: 304 year: 2011 ident: HC19017R16 publication-title: Mayo Clin Proc. doi: 10.4065/mcp.2010.0575 contributor: fullname: Brown – volume: 46 start-page: 1125 year: 2008 ident: HC19017R39 publication-title: Med Care. doi: 10.1097/MLR.0b013e31817924d2 contributor: fullname: Karve |
SSID | ssj0000463022 |
Score | 2.236736 |
Snippet | Identifies levels of sub-optimal adherence to oral hypoglycaemic medicines among people with type 2 diabetes, and those patient groups who may need additional... INTRODUCTION Poor adherence to oral hypoglycaemic medicines is a key contributor to therapy failure and sub-optimal glycaemic control among people with type 2... ABSTRACT INTRODUCTIONPoor adherence to oral hypoglycaemic medicines is a key contributor to therapy failure and sub-optimal glycaemic control among people with... |
SourceID | proquest crossref pubmed nlnz |
SourceType | Aggregation Database Index Database |
StartPage | 265 |
SubjectTerms | Hypoglycemic agents Non-insulin-dependent diabetes Patient compliance Treatment |
Title | Using the Pharmaceutical Collection Database to identify patient adherence to oral hypoglycaemic medicines |
URI | https://natlib-primo.hosted.exlibrisgroup.com/primo-explore/search?query=any,contains,999018406402837&tab=innz&search_scope=INNZ&vid=NLNZ&offset=0 https://www.ncbi.nlm.nih.gov/pubmed/32171380 https://search.proquest.com/docview/2377679677 |
Volume | 11 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1ba9swGBVbB6UvY_dl7YoGexveYku2o8ctu4RBxxgt5M18suR6JXVC4jykv76fbnayLbCNgBMsJwo6B-nou4mQ16KEciQVi4YyM6YbPoxgBBDxVFdDAfiy1fXPvmWTC_51mk77UF6bXdLKt-XNH_NK_gdVvIe4mizZf0C2-1G8gZ8RX7wiwnj9K4ydv99Ix-_1jmnamgPcIeAfoQWzVBmR-dNm5VabUE31Dajal5nFVpurX28W88vZpgQbNB8876s9Gnbha1W4bEpb5rqbwfEfXa1nLh-oudSrug8uHsO1Xnp3_wy24m8_LGHtLN0_auRt4znjrRJxH3aFi4qbSVEZ4b7UVQ3vptp4i1Jse950B0b8Np-jAEIQJmMjW_LtJxCIxbWFleGmKmbuOKhfSmeHprvkXpKL1ER8fpnGnQnOFEtDCeNSqU1X73xHR-QwfHVHrhw0s-Zm_1bESpLzB-S-x4G-d8R4SO7o5hE5PPOYPSZXlh8U-UF3-UF7ftDAD9rOaeAH9fygHT9Mq-EH3eEH7fjxhFx8_nQ-nkT-bI2oZDxpI8lymeSgkyTXsVB6aFKSAVdGnqEE10qa6HSphABZKWCcq5Kh1EvykcQNfZaypzga80Y_J7QSuDBkXIJKKw4Vk5DJSkgVqxKAyXxAaBjCwtOysKEPeVz4AR-QEzO0ha0Qiu_CeGtH3HiZTXWmAXkVhrzA2c-4tKDR8_WqSJipRiWyHJ955rDo-ggQvtjbckyOeu6ekIN2udYvUWO28tTaZk4tX24BLxF_3g |
link.rule.ids | 315,786,790,870,27955,27956 |
linkProvider | Geneva Foundation for Medical Education and Research |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Using+the+Pharmaceutical+Collection+Database+to+identify+patient+adherence+to+oral+hypoglycaemic+medicines&rft.jtitle=Journal+of+primary+health+care&rft.au=Kharjul%2C+Mangesh+D&rft.au=Cameron%2C+Claire&rft.au=Braund%2C+Rhiannon&rft.date=2019-09-01&rft.eissn=1172-6156&rft.volume=11&rft.issue=3&rft.spage=265&rft_id=info:doi/10.1071%2FHC19017&rft_id=info%3Apmid%2F32171380&rft.externalDocID=32171380 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1172-6164&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1172-6164&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1172-6164&client=summon |