Abstract
Background: Diabetes mellitus (DM) is a wide-reaching prevailing metabolic syndrome. Better medical adherence improves the diabetic glycemic control and postpones the diabetes-related complications. A good perceived quality of care could improve the adherence and correspondingly the wellbeing of the diabetic patients. Objectives:  were to assess treatment adherence in patients with type II diabetes, as well as the link between medication adherence and quality of care regarding the process and intermediate outcomes.
Methods: Patients with type 2 DM were recruited from Munshaat Sultan primary health center outpatient clinic, Egypt using a convenient sampling technique (150 participants).They were recruited over three months. All eligible participants were interviewed and their records were revised for the past year. The interviewing questionnaire contained three parts to sees the socioeconomic status, patient medication adherence, and quality of care perceived. Results: nearly half of the diabetic participants were low adherent resembling 55.3% of the studied group. Most of the low adherent patients were female, illiterate and those without medical insurance. The main quality of care hindrances they pointed at were long waiting time and short consultation period. A statistical positive correlation was found between the adherence score and quality of care score and process of care score simultaneously.
Conclusion: this study showed that nonadherence of the diabetic patients is a prevailing problem.