Evaluating Medication Adherence and the Potential Role of Pharmacists in Medicines Use Review Services: A cross-sectional study

Abstract

Objectives: Effective management of chronic diseases requires personalized guidance from healthcare professionals to optimize treatment outcomes. Inadequate medication adherence can exacerbate disease progression and impose additional burdens on healthcare systems. The Medicines Use Review (MUR) service, implemented in some countries, offers structured, face-to-face consultations between pharmacists and patients to improve medication use and address concerns. This study aimed to assess medication adherence among chronic-disease patients in Cyprus, focusing on factors influencing adherence, such as side effects, lack of symptoms, and travel. Additionally, it explored patients’ attitudes toward engaging in MUR services. Methods: A cross-sectional design was employed, recruiting chronic-disease patients across Cyprus. Data were collected via a questionnaire comprising 17 questions and demographic information, and responses were analyzed using SPSS 29.0®, calculating frequencies, means, and standard deviations. Key Findings: Results indicated that while overall adherence was satisfactory, factors such as adverse effects, symptom absence, and travel often led patients to modify or discontinue medications without consulting a healthcare provider. Notably, most participants expressed willingness to participate in MUR services, highlighting their potential to enhance medication adherence and improve patient outcomes. Conclusion: although chronic patients in Cyprus demonstrate generally satisfactory adherence, there is a clear need for improved educational and support services to address gaps in understanding and consistency. The expressed willingness to engage in MUR services, irrespective of adherence levels, underscores their potential to promote better health outcomes.