A qualitative study exploring medicines use pattern and practice among general public in Malaysia

Keywords: Drug Utilization, Medication Adherence, Health Knowledge, Attitudes, Practice, Qualitative Research, Malaysia

Abstract

Objective: The objective of this study is to explore the pattern and practice of medicine use among the general public; and to explore the key factors influencing medicine use among medicine users.

Methods: A qualitative approach using focus group discussions was conducted to get in-depth information about medicines use pattern and practice from the general public. Adult people who reported using medicines at the time of study or in the previous month were approached. Two focus group discussions were audio-recorded and transcribed verbatim. The obtained data were analysed using thematic content analysis.

Results: This study found that there are some misunderstanding about the appropriate use of medicines. The majority of the participants reported that they were complying with their medication regimen. However, forgetting to take medicines was stated by 4 participants while 2 participants stopped taking medicines when they felt better. In addition, 10 participants reporting using medicines according to their own knowledge and past experience. Whereas 4 participants took medicines according to other informal resources such as family, friends or the media. Seven participants have experienced side effects with using medicines, 4 of them informed their doctor while 3 participants stopped taking medicines without informing their doctor. 

Conclusion: There was a misunderstanding about medicines use in terms of medication compliance, self-management of the illness and the resources of information about using medicines.  Many efforts are still needed from health care professionals to provide sufficient information about medicines use in order to decrease the risk of inappropriate use of medicines and to achieve better therapeutic outcome.

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References

1. Ocan M, Bbosa GS, Waako P, Ogwal-Okeng J, Obua C. Factors predicting home storage of medicines in Northern Uganda. BMC Public Health. 2014;14:650. doi: 10.1186/1471-2458-14-650

2. World Health Organization, Promoting rational use of medicines: Core Components - WHO Policy Perspectives on Medicines. 2002, Geneva: World Health Organization.

3. World Health Organization, The rational use of drugs : report of the Conference of Experts. 1987, Geneva: World Health Organization.

4. Brahma D., Marak M, Wahlang J, Rational use of drugs and irrational drug combinations. The Internet J Pharmacol., 2012;10(1): 14081.

5. Kar SS1, Pradhan HS, Mohanta GP. Concept of Essential Medicines and Rational Use in Public Health. Indian J Community Med. 2010;35(1):10-13. doi: 10.4103/0970-0218.62546

6. World Health Organization, How to develop and implement a national drug policy. 2001, Geneva: World Health Organization.

7. Pharmaceutical Services Division and Clinical Research Centre. Malaysian Statistics on Medicines 2009 & 2010. 2014 Available from: http://www.pharmacy.gov.my/v2/en/documents/malaysian-statistics-medicines.html (accessed 10 April 2015).

8. Roughead EE, Lhazeen K, Socialine E, Bahri S, Park BJ, Holloway K. Monitoring medicines use to support national medicines policy development and implementation in the Asia Pacific region. WHO South-East Asia J Public Health. 2013;2(2):113-117. doi: 10.4103/2224-3151.122946

9. Hassali MA, Shafie AA, Chua G. National Survey on the Use of Medicines (NSUM) by Malaysian consumers 2012. Petaling Jaya, Malaysia: Pharmaceutical Services Divisions, Ministry of Health, 2013.

10. Hardon A, Hodgkin C, Fresle D, How to investigate the use of medicines by consumers. 2004: Amsterdam: World Health Organization.

11. Britten N. Patients' ideas about medicines: a qualitative study in a general practice population. Br J Gen Pract. 1994;44(387):465-468.

12. Loyola Filho AI, Lima-Costa MF, Uchôa E. Bambuí Project: a qualitative approach to self-medication. Cad Saude Publica. 2004;20(6):1661-1669.

13. Chapchet Chana R, Bradley H. Sociocultural, economic and regulatory influences on medicine use by consumers in a rural township in Cameroon. Southern Med Review (2011;4(1):9-16. doi: 10.5655/smr.v4i1.73

14. Babar ZU, Hassali MA, Shyong TL, Hin TK, Cien CS, Bin LS, Anantham SC, Kirubakaran R, Ping SB, Kirubakaran R, Chuen CS, Singh JK. An evaluation of consumers’ perceptions regarding “modern medicines” in Penang, Malaysia. J Young Pharm. 2012;4(2):108-113. doi: 10.4103/0975-1483.96625

15. Britten N. Lay views of drugs and medicines: orthodox and unorthodox accounts. In: Modern medicine: lay perspectives and experiences, S.J. Williams and M. Calnan, Editors. 1996, UCL Press: London. p. 48-74.

16. Townsend A, Hunt K, Wyke S. Managing multiple morbidity in mid-life: a qualitative study of attitudes to drug use. BMJ. 2003;327(7419):837.

17. Horne R, Coombes I, Davies G, Hankins M, Vincent R. Barriers to optimum management of heart failure by general practitioners. Br J Gen Pract. 1999;49(442):353-357.

18. Segall A. A community survey of self-medication activities. Med Care. 1990;28(4):301-310.

19. Asscher AW, Parr GD, Whitmarsh VB., Towards the safer use of medicines. BMJ. 1995;311(7011):1003-1006.
Published
2016-06-26
How to Cite
1.
Dawood OT, Hassali MA, Saleem F. A qualitative study exploring medicines use pattern and practice among general public in Malaysia. Pharm Pract (Granada) [Internet]. 2016Jun.26 [cited 2019Oct.23];14(2):740. Available from: https://pharmacypractice.org/journal/index.php/pp/article/view/740
Section
Original Research

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