Adherence And Compliance Flashcards
What is the definition of adherence?
Extent to which a person’s behaviour corresponds with agreed recommendations from a healthcare provider.
More patient centred than compliance, patient has right to choose and more holistic
What’s the definition of compliance?
The extent to which the patient complies with medical advice.
Patient does what they’re told, doctor knows best.
What is non-adherence?
Failing to complete prescription or pick it up, taking more or less, missing doses. Can be intentional or non-intentional.
What’s intentional non-adherence?
When they decide to not follow treatment based on their beliefs/attitudes.
What’s non-intentional non-adherence?
Practical problems and barriers preventing them from following the treatment.
E.g forgetting to, too expensive, don’t understand instructions.
How can you improve adherence?
-educating patient on medication
-simplify regimen
-use of physical aids/reminders
Limitation- doesn’t address intentional non-adherence
What are factors that affect adherence?
-patient beliefs: lay beliefs about illness/medication (side effects, stigma, conflict with activities). Patient may reject/modify based on beliefs and priorities
-social support: higher social support=higher adherence
-quality of interaction/trust in healthcare provider
What’s the multi-dimensional model of adherence?
-Patient factor: beliefs, understanding
-Psychological factors: social support, psychological health
-Healthcare factors: doctor-patient interaction, communication
-Treatment factors: side effects, stigma, complexity
-Illness factors: symptoms, severity
What are burdens of disease/health needs of homeless people?
Alcoholism
Drug abuse
Poor mental health
What are approaches to providing good healthcare for homeless patients?
Disease prevention
Pharmacological
Psychological
