Medicine Adherence and Compliance Flashcards
What is patient compliance?
The extent to which patients behaviour coincides with medical/health advice
What are 3 disadvantages of patient compliance?
1) it’s passive, so patient MUST follow doctor’s order
2) Professionally focused so assumes the Doctor knows the best
3) Disregards patients problems in managing their own health
What is patient adherence?
The extent to which patient’s actions match agreed recommendations. More patient centred.
What is patient compliance and adherence?
Patient Compliance: Uncaring, condescending and passive
Patient Adherence: Empowering patients and considering them as equals in care
What are the main principles of adherence?
1) Improves communication
2) Increases patient movement
3) Understand the patient’s perspective
4) provide and discuss information
5) Assess adherence
6) Review medicines
Describe the necessity-concerns framework
Adherence increases when necessity beliefs are high and concerns are low. (Necessity-concerns looks at what influences adherence)
Give 2 factors that patient centred care encourages?
1) Focus on the patient as a person, holistic
2) Shared control of consultation, decisions are made by the patient and doctor together
What is concordance?
Expectation that patients will take part in treatment decisions and have a say in the consultation, negotiation between equals
What are 5 barriers to concordance?
1) Patient may choose not to engage in discussions with their doctor
2) it may lead to worry
3) patients may just want the doctor to tell them what to do
4) Time, resources and organisational constraints
5) Challenging, patient choice may differ significantly from medical advice
What are 4 advantages of doctor-patient communication
1) Better health outcomes
2) higher compliance to therapeutic regimens
3) Higher patient and clinician satisfaction
4) decrease in malpractice risk
