Medication adherence to statins in patients receiving telepharmacy services at national cardiovascular centre harapan kita for the period of July – December 2021

Introduction: Statins are one of the prophylactic therapies aims to prevent the progression of cardiovascular diseases. Medication adherence, especially in the use of statin group, is important to achieve the target of treatment therapy. One indirect method to measure medication adherence is by calculated the amount of drug that patient have at home, called Medication Possession Ratio (MPR). This method measures compliance by calculating the repetition of prescription drug purchases/refill. During the pandemic, National Cardiovascular Center Harapan Kita has provided telepharmacy services to improve patient compliance in redeeming prescriptions. This study aims to determine the adherence to statin after being given telepharmacy services. Methods: a cross-sectional study was conducted by collecting the Electronic Medical Record (EMR) from online polyclinic patients who received telemedicine services at National Cardiovascular Centre (NCC) Harapan Kita. Data collection on repetition of statin drug prescriptions at period from July to December 2021. The sampling technique used is total sampling. Results: Out of 138 EMR, 54 patients was prescribed with statins. The majority of statins were prescribed to male patients (36; 66.7%), the oldest aged 65 years and above (33; 61.1%), most of them were in the tertiary education level (30; 55.6%), the majority of patients were active workers (32; 59.3%). The type of statin group that was most widely used by patients was atorvastatin (37; 68.5%), and the major disease suffered by the most patients was coronary heart disease (33; 61.1%). The majority of online polyclinic patients are less compliance to statins, given the MPR score below 0,8 (38; 70.4%). There is no significant correlation (p-value >0.05) between the patient's socio-demographic characteristics and the level of adherence to statins. Telepharmacy service at NCC required evaluation to improve services and patient medication adherence.