PMID- 36262925
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221021
IS  - 2071-9736 (Electronic)
IS  - 1025-9848 (Print)
IS  - 1025-9848 (Linking)
VI  - 27
DP  - 2022
TI  - Barriers and facilitators to medicine collection through the CCMDD programme at a 
      Durban Hospital.
PG  - 1906
LID - 10.4102/hsag.v27i0.1906 [doi]
LID - 1906
AB  - BACKGROUND: South Africa has rekindled health reform efforts through the 
      implementation of the Centralised Chronic Medicine Dispensing and Distribution 
      (CCMDD) programme, as a precursor towards achieving envisioned National Health 
      Insurance (NHI). The CCMDD programme enables stable patients to collect chronic 
      medicines dispensed centrally from designated pick-up-points (PuPs). Barriers and 
      facilitators of chronic medicine collection exist at different levels. AIM: To 
      identify barriers and facilitators associated with patients' characteristics and 
      noncollection of CCMDD patient medicine parcels (PMPs). SETTING: The study was 
      conducted at a regional public sector hospital which provides support for 19 
      primary facilities. METHODS: An observational cross-sectional comparative study 
      was conducted. RESULTS: There was no statistically significant difference in 
      collection status in terms of most of the variables compared. Patients who had 
      been on treatment longer or who were receiving multiple items were more likely to 
      collect medication, as were patients with arthritis, HIV and AIDS, but the 
      association was no longer significant after adjusting for other confounders. 
      Patients using internal PuPs were significantly more likely to collect their PMPs 
      than patients using external PuPs, and this may have implications for achieving 
      CCMDD objectives. CONCLUSION: This study has revealed that recently diagnosed 
      patients are enrolled onto the CCMDD programme whilst the chronic condition 
      stability is not yet attained. Patients were also enrolled onto the programme at 
      the referral facility instead of being down-referred. CONTRIBUTION: This study 
      makes a case for evaluation research to further assess the CCMDD programme 
      implementation, in order to improve uptake and cost-effectiveness.
CI  - (c) 2022. The Authors.
FAU - Hlongwana, Simangele I
AU  - Hlongwana SI
AUID- ORCID: 0000-0002-1432-3914
AD  - Discipline of Public Health Medicine, University of KwaZulu-Natal, Durban, South 
      Africa.
AD  - Discipline of Pharmaceutical Sciences, School of Health Sciences, University of 
      KwaZulu-Natal, Durban, South Africa.
AD  - King Edward VIII Hospital, Durban, South Africa.
FAU - Gray, Andrew L
AU  - Gray AL
AUID- ORCID: 0000-0001-7815-8180
AD  - Division of Pharmacology, Discipline of Pharmaceutical Sciences, University of 
      KwaZulu-Natal, Durban, South Africa.
LA  - eng
PT  - Journal Article
DEP - 20220927
PL  - South Africa
TA  - Health SA
JT  - Health SA = SA Gesondheid
JID - 101213385
PMC - PMC9575334
OTO - NOTNLM
OT  - CCMDD
OT  - National Health Insurance
OT  - adherence
OT  - barriers and facilitators
OT  - chronic medicine collection
OT  - patient characteristics
OT  - patient medicine parcels
OT  - pick-up-points
COIS- The authors declare that they have no financial or personal relationships that 
      may have inappropriately influenced them in writing this article.
EDAT- 2022/10/21 06:00
MHDA- 2022/10/21 06:01
PMCR- 2022/09/27
CRDT- 2022/10/20 02:48
PHST- 2022/01/07 00:00 [received]
PHST- 2022/06/08 00:00 [accepted]
PHST- 2022/10/20 02:48 [entrez]
PHST- 2022/10/21 06:00 [pubmed]
PHST- 2022/10/21 06:01 [medline]
PHST- 2022/09/27 00:00 [pmc-release]
AID - HSAG-27-1906 [pii]
AID - 10.4102/hsag.v27i0.1906 [doi]
PST - epublish
SO  - Health SA. 2022 Sep 27;27:1906. doi: 10.4102/hsag.v27i0.1906. eCollection 2022.