Evidence map›Paper›PMID 40971371›Full record

ArticlePloS one2025

Impact of National health insurance on medication adherence among hypertensive patients: A hospital-based cross-sectional study from Kailali, Nepal.

Nripa Raj Dangaura, Pratik Khanal, Bihari Sharan Kuikel, Sabina Marasini, Ashish Timilsina, Prakash Chandra Joshi, Roshan Mahato, Archana Shrestha, Biraj Man Karmacharya

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nripa Raj DangauraDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.ORCID https://orcid.org/0000-0002-4401-0863
Pratik KhanalBergen Centre for Ethics and Priority Setting in Health (BCEPS), Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Bihari Sharan KuikelDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Sabina MarasiniDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.ORCID https://orcid.org/0000-0002-7571-9410
Ashish TimilsinaFamily Welfare Division, Department of Health Services, Ministry of Health and Population, Nepal.ORCID https://orcid.org/0009-0001-4470-112X
Prakash Chandra JoshiJames P Grant School of Public Health, BRAC University, Nepal.
Roshan MahatoDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Archana ShresthaDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Biraj Man KarmacharyaDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNoncompliance of medication among patients with chronic disease is a major challenge for the health system. Expanding of national health insurance among patients might increase their access to health care services, reduce out of pocket expenditures, and improve health outcomes. This study aimed to determine the association between enrollment in health insurance and medication adherence among hypertensive patients in Nepal.

methodsA cross-sectional study was conducted among 402 patients visiting the outpatient department of Tikapur Hospital located in Kailali, Nepal. Data was collected by face-to-face interviews using a structured questionnaire. Adherence to hypertensive medication was assessed using the Hill Bone Medication Adherence Scale (HB-MAS). A multivariable logistic regression model was constructed to ascertain the association between enrollment in health insurance and medication adherence.

resultsOverall, 52.7% (60.2% of uninsured and 45.3% of insured) of the patients was medication adherence. Enrollment in health insurance was not significantly associated with medication adherence. The participants among those who had reported more than secondary level education was higher odds of medication adherence (AOR = 3.30; 95% CI: 1.25-8.73); those who reported more than five minutes of interaction with doctors (AOR = 2.97; 95% CI: 1.56-5.65); those on medication for more than 10 years had higher odds of adherence (AOR:2.56; 95% CI:1.35-4.86); aged group 50-59 years was lower odds of medicatio n (AOR = 0.46; 95% CI: 0.23-0.91); compared to patients with no formal education;those who reported less than or equal to 5 minutes of interaction with doctors; those who had less than 5 years of medication; participants younger than 50 years respectively.

conclusionOur study showed that enrollment in health insurance was not associated with medication adherence among patients with hypertension. Health system interventions such as improving counseling, patient education, and follow-up, and ensuring availability of medicines might improve medication adherence among patients. Health professionals also should set up education, and interventions aimed at increased awareness of the consequences of non-adherence to antihypertensive medication.

Indexed as

Antihypertensive AgentsHypertensionMedication AdherenceNational Health ProgramsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNepalSurveys and QuestionnairesAntihypertensive Agents

Identifiers

PMID40971371
PMCPMC12448337

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.