This presentation describes a patients portal for collecting patients entered data regarding their perception, satisfaction and use of diabetes medication. Details can be found at: Dixon, B. E., Jabour, A. M., Phillips, E. O. K., & Marrero, D. G. (2014). An informatics approach to medication adherence assessment and improvement using clinical, billing, and patient-entered data. Journal of the American Medical Informatics Association, 517-521. https://academic.oup.com/jamia/article/doi/10.1136/amiajnl-2013-001959/872429

3. never rarely Some
times
often Very
often
1.I just forget to take them.
2.I forgot to fill my prescription in time.
3.I don't know what does to take.
4.I'm not sure exactly what each medicine is for.
5. There are too many doses to take each day.
6.It's too hard to keep track of what I am supposed to take when.
7.They are unpleasant to take.
8.I can't afford them.
9.My medicines make me feel bad or have side effects I don't
like.
10.I have heard about side effects that I am afraid I might get.
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4. never rarely Some
times
often Very
often
11- Getting to the pharmacy to pick them up is difficult.
12- The pharmacy could not fill my prescription.
13- My doctor or nurse forgot to write a new prescription.
14- I ran out of medication before I could call or visit my doctor or
nurse.
15- I don't have enough time to talk with my doctor or nurse about
problems I am having with my medicines.
16- I sometimes forget to ask my doctor or nurse about problems
that I am having with my medicines.
17- I don't feel my medicines are helping me.
18- I just don't like taking medicine in general.
19- Taking medicines makes my health worse.
20- I sometimes find it hard to ask my doctor or nurse questions
about my medications.
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6. Your feedback form was successfully submitted.
Please note that filling an online feedback is required within 10 days before each
visit.
Thanks

7. Help
• Why do I fill my medication feedback? How is this going to help me?
• What to expect during my visit?
• When do I have to fill it?

8. Contact us
For questions and inquiries about the study and medication list questions please
contact;
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For login issues and technical support please contact;
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