2.03 - Compliance Flashcards
Why do medical practitioners need to consider possible barriers to treatment compliance in patients?
Measured rates of compliance are concerning, and may be worse than research suggests.
Trying to measure & monitor compliance reliably is difficult, so being proactive is a better strategy.
A substantial number of practitioners do not take them into account.
What patient related factors can influence compliance rates?
Age Sex Education level Memory/Cognition Depression Anxiety Personality Experimentation Risk/Severity Discomfort
What doctor related factors can influence compliance rates?
Communication
Trust
Patient satisfaction with treatment
What treatment related factors can influence compliance?
Side effects
Ease of administration
What behavioural strategies can be eased to increase compliance rates?
The doctor and patient make joint decisions regarding treatment management.
The patient is given responsibility for directing treatment and monitoring compliance.
Self-monitoring works through increasing the patients’ sense of control over their condition and self-efficacy.
What is the importance of effective doctor-patient communication in ensuring compliance?
The more a patient understands about their condition, (i.e., the risks and benefits associated with certain health behaviours, prognosis, severity) the more likely they are to comply with treatment.
Patients are not always fully informed for a variety of reasons, and it’s important to check and make sure they are.
What are some ways to measure compliance?
Patient self report Health provider prediction Measure of medication use (what is left in the bottle) Clinical outcome Chemical analysis
What are some methods to increase compliance rates?
Education Communication/information presentation Regular follow-up Self-monitoring Social/Professional support Reminder strategies Motivational strategies Convenience management Contracts Memory aids
