Compliance, Adherence & Concordance

Question 1

Define compliance

Answer 1

The extent to which the patient complies with the medical advice

Question 2

Define adherence

Answer 2

The extent to which to a persons behaviour- take a medicine, following a diet and or executing lifestyle changes - corresponding with agreements

Question 3

What are the consequences of non-adherence

Answer 3

Health benefits equal poor health related quality of life, increased hospitalisation
Premature mortality is greater than wider economic burden = personal, health and social cost

Question 4

Why don’t people take their medication

Answer 4

They have practical problems examples poor recall or comprehension of instructions
They don’t want to

Question 5

Common intervention to improve adherence

Answer 5

Educating patients on the medicine to increase their knowledge
Simplifying the regimen
Making it easier to remember to use the medicine

Question 6

What are other impacts on adherence

Answer 6

Social support associated with adherence

Quality of interactions with and trust in healthcare provider

Question 7

What are the adherence factors

Answer 7

Patient factors
Psychological factors 
Healthcare factors
Treatment factors
Illness factors

Question 8

What is patient factors and psychological factors

Answer 8

Patient factors = beliefs and understanding, satisfaction, memory
Psychological factors = Social support, psychological health

Question 9

What is healthcare factors and treatment factors

Answer 9

Healthcare factors = Setting, doctor-patient interaction, communication, concordance
Treatment factors = Preparation, side-effects, complexity, experience, stigma

Question 10

What is an illness factor

Answer 10

Symptoms, severity