Exploring the Causative Factors to Non-Adherence to Continuity of Care of Geriatric Patients

Abstract

Continuity of care is vital for managing chronic conditions in geriatric patients, yet non-adherence persists, leading to increased hospital readmissions and diminished quality of life. This phenomenological qualitative study examined the factors contributing to non-adherence among elderly patients through semi-structured interviews with geriatric patients and healthcare professionals at a tertiary government hospital in Naga City. Findings revealed key barriers, including economic constraints (medication and transportation costs), logistical challenges (long wait times, staff shortages), cultural preferences for self-medication or alternative treatments, and systemic inefficiencies (inadequate patient education, lack of follow-up tracking). Healthcare providers recommended structured interventions such as education programs, improved communication, and policy reforms, alongside community-based solutions like mobile health services and telehealth. In response, the Guiding Elders’ Resilience In Action (GERIA): Community-Based Continuity of Care program was developed, focusing on patient education, accessibility support, and culturally sensitive strategies to enhance follow-up adherence. This program provides a scalable, patient-centered model for improving geriatric care continuity. The study underscores the need for integrated, community-driven approaches to address adherence challenges and optimize health outcomes for elderly patients.