PATIENT COMPLIANCE WITH MEDICAL THERAPY IN DIABETES MELLITUS A COMPARATIVE STUDY BETWEEN PUBLIC HEALTH CENTERS AND PRIVATE CLINICS
Keywords:
Improve Health Outcomes.Abstract
Diabetes Mellitus (DM) is a chronic, progressive metabolic disorder requiring long-term pharmacological management. Patient adherence to prescribed therapy is a critical determinant of glycemic control and the prevention of complications. In Indonesia, DM care is delivered through both public health centers (Puskesmas) and private clinics, which differ in infrastructure, patient load, and service quality. This study aims to evaluate and compare the medication adherence of patients diagnosed with Type 2 Diabetes Mellitus (T2DM) who receive care at Puskesmas versus those attending private clinics in a suburban district of A comparative cross-sectional study was conducted from October to December 2024, involving 200 patients with T2DM. Of these, 100 patients were recruited from Puskesmas and 100 from private clinics. The Morisky Medication Adherence Scale (MMAS-8) was utilized to assess adherence levels, and data were analyzed using descriptive and inferential The study found that 68% of patients attending private clinics exhibited high adherence to medical therapy, compared to only 52% in the Puskesmas group. Factors such as patient education, doctor-patient rapport, accessibility of medications, and socioeconomic status significantly influenced adherence rates. Private clinic patients were found to have better access to healthcare resources, leading to improved treatment outcomes. Medication adherence in DM patients is significantly higher in private clinics compared to public health centers. This highlights the need for strengthening healthcare systems in public facilities, including improving the quality of doctor-patient interactions, ensuring the availability of medications, and enhancing patient education.
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