II-14 Results of Poor Patient-Provider Communication Flashcards
Discuss the prevalence of non-adherence among patients in different situations.
Antibiotic regimens—33% non-adherence
Preventive health measures—50%
Behavior change (programs for smoking/obesity)—80%
Highest adherence rates—Treatments for HIV, arthritis gastrointestinal disorders, and cancer.
Lowest adherence rates—Treatments for pulmonary disease, diabetes, and sleep disorders.
Name four ways to enhance adherence by promoting good learning.
- Asking patients to repeat instructions.
- Putting instructions in writing.
- Clarifying instructions that might be unclear.
- Repeating instructions more than once.
Identify the types of treatment regimens that are most likely to produce adherence.
Adherence is high (90%) when the advice is perceived as “medical” (taking medication) but lower (76%) if the advice is vocational (for example, taking time off from work) and lower still (66%) if the advice is social or psychological (for example, avoiding stressful social situations).
List three impediments to adherence cited by non-adherent patients
Non-adherent patients cite lack of time, lack of money, and distractions at home, such as conflict or lack of support.
Name three things that patients seek when a medical mistake occurs
- They want to find out what happened.
- They want an apology from the doctor or hospital.
- They want to know that the mistake will not happen again.
ADHERENCE
The degree to which an individual follows a recommended health-related or illness-related recommendation.
non-adherence
The failure to comply fully with treatment recommendations for modification of a health habit or an illness state.
creative non-adherence
The modification or supplementation of a prescribed treatment regimen on the basis of privately held theories about the disorder or its treatment.
