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Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory condition that requires sustained adherence to pharmacological therapy. In regions like Hail City, Saudi Arabia, the burden of COPD is compounded by low health literacy, limited access to care, and poor medication adherence. As healthcare systems increasingly adopt telemedicine, understanding its potential role in supporting treatment adherence becomes essential. This study aimed to explore the perspectives of COPD patients receiving outpatient care at King Salman Specialized Hospital (KSSH) in Hail City regarding medication adherence and their experiences with telemedicine in managing their condition. A qualitative descriptive approach was employed, involving semi-structured interviews with 28 COPD patients. Participants were recruited from the outpatient respiratory clinic at KSSH. Interviews were thematically analyzed to identify barriers and facilitators to medication adherence, as well as attitudes toward telemedicine. Participants demonstrated varied levels of understanding regarding COPD and its treatment. Common barriers to adherence included inhaler misuse, forgetfulness, and insufficient instruction, while facilitators included family support and perceived treatment effectiveness. Many patients were receptive to telemedicine, particularly for follow-up and medication guidance, though concerns were raised about digital literacy and the perceived limitations of remote care. Pathology-informed education and culturally sensitive telemedicine strategies have the potential to enhance adherence among COPD patients. Tailored interventions that address technological, cognitive, and contextual challenges are essential to maximize the impact of digital health solutions in chronic respiratory disease care‎.

Keywords: Pathology, COPD, Telemedicine, Medication adherence

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