Measuring medication adherence in asthma patients in developing countries: insights from North Macedonia

Adherence to prescribed drug therapy is crucial in achieving disease control and better outcomes. This article aims to evaluate the current state in North Macedonia (NMK) and to address the need for establishing appropriate methods and implementing suitable tools for measuring medication adherence nationally. A literature review of available publications in scientific databases (PubMed, Scopus, Medline, and Google Scholar) was conducted to identify articles concerning the existence of methods for measuring medication adherence among asthma patients in North Macedonia, along with an evaluation of the current national legislative documentation addressing medication adherence. Our research identified a few, albeit limited, specific methods on a national level, and no available tools designed explicitly for measuring medication adherence in asthma patients in the Macedonian language. Adopting an improved legislative framework is crucial for adequately outlining the requirements for assessing adherence levels and implementing suitable monitoring methods. Raising awareness of medication adherence in asthma patients among various stakeholders requires continuous efforts. Improving adherence should be prioritised by healthcare professionals, national programs, initiatives, and guidelines that aim to regularly assess and enhance adherence levels for asthma patients.