adherence and concordancde Flashcards
the goal of medicine optimisation is to
Improve their outcomes
Take their medicines correctly
Avoid taking unnecessary medicines
Improve medicines safety
Reduce wastage of medicines
what % of the population has two or more long term cinditions
1/4
what is the use of multiple medicines
polypharmacy
estimated cost of prescription that are wasted
300 million
define compliance originally
whether patient took their prescription as told
what is adherence
acknowledges the importance of patient’s beliefs
non - adherence examples
not taking prescribed medication
taking bigger/ smaller doses
taking it more often/less
stopping medication without finishing the course
poor lifestyle choices- diet, alcohol, smoking
unintentional non adherence examples?
- difficulty understanding instructions
-finances
-problems using treatment
-forgetting
intentional non adherence examples?
-patients beliefs about their health / condition
-beliefs about treatments
-personal preferences
necessity beleifs
perceptions of personal needs for treatment
what does patient centred care encourage :
- focus in consultation on the patient as a whole person with needs
-shared control of the consultation , decisions about interventions or management
benefits of good pt-dr communication
better health outcomes
higher adherance to therapeutic regimens
higher patient and clinician satisfaction
decrease in malpractice risk
ethical considerations
mental capacity
decision that may be detrimental to a patients well-being
potential threat to the health of others
ethical consideration when patient is child
3rd party
when can they take responsibility
who should more weight be given to
what if everyone disagrees
