Medication Adherence to Bisoprolol and Patient Satisfaction With Community Pharmacy Services: A Cross-Sectional Study
Abstract
Medication adherence is critical in cardiovascular therapy, while patient satisfaction reflects the quality of community pharmacy services. This descriptive cross-sectional study at Nirmala Pharmacy, South Tambun, Indonesia (January–April 2025) consecutively recruited adult users of bisoprolol and measured adherence using the Morisky Medication Adherence Scale (MMAS-8), the Adherence to Refills and Medications Scale (ARMS), and pill count; patient satisfaction was assessed across reliability, responsiveness, assurance, empathy, and tangibles. Among respondents with complete adherence data, 57% showed moderate adherence on MMAS-8; 73% were adherent by pill count; and 73% were classified as low adherence by ARMS. Satisfaction was high overall (mean 83%, satisfied), with the highest scores in tangibles (90.6%) and assurance (85.6%). Despite high satisfaction with community pharmacy services, adherence to bisoprolol remained suboptimal and varied by measurement approach, underscoring the need for targeted adherence support through structured brief counseling, refill reminders, and regimen simplification in community pharmacy practice.
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DOI: https://doi.org/10.37311/ijpe.v5i3.31161
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