7. Adherence to Treatment Flashcards
What is compliance?
The extent to which the patient complies with medical advice.
What is adherence?
The extent to which patient behaviour coincides with medical advice.
What is concordance?
Negotiation between the patient and doctor over treatment regimes.
What is Ley’s model of compliance?
Understand and memory lead to satisfaction and all lead to compliance.
What is unintentional non-adherence caused by?
Capacity and resource limitations.
What individual constraints can lead unintentional non-adherence?
Lack of memory, understanding, dexterity.
What may cause intentional non-adherence?
Beliefs, attitudes, and expectations.
How can concordance lead to better adherence?
The patient has shared ownership of decision and treatment so their beliefs, expectation, lifestyle, and priorities can be taken into account. Any barriers to adherence can be addressed. Patient trust and satisfaction is promoted.