Compliance, Adherence + Concordance Flashcards
Define compliance
The extent to which a patient complies with medical advice
Define adherence
Give an example
The extent to which a person’s behaviour corresponds with agreed recommendations with a healthcare provider
Taking medications
Define concordance
An agreement reached
After negotiation between a patient and a healthcare professional
That respects the beliefs and wishes of a patient
In determining whether when and how medicines are to be taken
What does non-adherence to medication involve? (3)
Failing to pick up prescription
Stopping medication before course is complete
Taking more or less medication/ medication at the wrong time/ missing doses than prescribed or at the wrong time
What are some consequences of non-adherence
Loss of health benefits - increased hospitalisations
Wider economic burden
What are the two category of reason for adherence?
Unintentional
Intentional
Describe unintentional adherence
Patients want to take medication but are prevented by barriers outside of their control
E.g. poor recall/ comprehension/ financial reasons.
Describe intentional adherence
Patient decides not to follow treatment regime, based on beliefs attitudes and experiences
Due to lay beliefs
What are some interventions to improve adherence?
Educating patient
Simplifying regime
Making it easier to remember to use medicine
Increased quality of interaction with, and trust in healthcare provider
What five factors affect adherence/what is the model?
Illness
Patient
Psychosocial
Healthcare
Treatment
What services do homeless people often require?
Alcohol and drug dependence support
Mental health support
Health assessments
Financial support/advice
Often have co-morbidities (tri-morbidity- physical health, mental health and drug/alcohol abuse)
Name some specific approaches to care for homeless
Provide a ‘safe house’ with a GP on duty
Vaccinations
Pharmacological intervention
Housing and social determinants
Non-judgemental
What is an acceptor?
Accepts their diagnosis, freely admitting to being a suffer of the disease and accepts the necessity to take both medication
What is a denier?
Someone who does not believe that they have the condition they are being treated for
