- Patient care: same as adherence: â€œconsistency and accuracy with which a patient follows the regimen prescribed by a physician or other health professionalâ€?
- Physics: â€œa measure of distensibility of a chamber in volume per unit change in pressureâ€?
(Source: 1 )
2 â€¦.with Prescribed Medicine
Compliance with prescribed medicine is around 50%
- Problems with regimen (for example adverse effects, complexity of regimen, etc)
- Poor instructions
- Poor provider-patient relationship
- Poor memory (â€œforget to take itâ€?)
- Patientâ€™s disagreement with need for treatment or inability to pay for it
- Making care for patient more convenient
- Give material information (specific to the patientâ€™s need and concern) & counseling
- Family therapy
- Psychological therapy
- Crisis intervention,
- Manual telephone follow-up
- Other forms of additional supervision or attention.
3 The Critical Issue is: Good Provider-Patient relationship
--> Teamwork, patient feels part of team --> takes ownership of health
What is needed? Good communication skills! Patient centeredness!
Doctorâ€™s role: Provider of expert information and advice, acting often as facilitator
Interesting Research Finding: Telling patients about potential adverse effects of medication did not affect the use of the medication
4 Research Standard
Adherence is to be judged by clinical benefit, not simply by effects on adherence rates
- Antibiotic prescribed: 1 Tablet QID (4 times a day) for 1 week
- But patient takes only 1 Tablet BD (twice a day) for 5 days,
- The adherence would be 36% (10 / 28 = 36%).
- (Source: 2)
5 Sources & Further Reading
- 1) Dorlandâ€™s Concise Medical Dictionary 2.0
- 2) Haynes RB, Yao X, Degani A, Kripalani S, Garg A, McDonald HP. Interventions to enhance medication adherence. The Cochrane Database of Systematic Reviews 2005, Issue 4. Art. No.: CD000011.pub2. DOI: 10.1002/14651858.CD000011.pub2 Abstract Cochrane Library
- 3) NHLBI (National Heart, Lung, Blood Institute Working Group) on Patient Compliance. Management of patient compliance in the treatment of hypertension. Hypertension 1982; 4: 415-23 Abstract on Pubmed