Medicines adherance Flashcards
What is Compliance?
the consistency and accuracy with which someone follows the plan prescribed by a health professional
what is adherence
the extent to which the patients action matches the agreed recommendations
what is concordance
a negotiated, shared agreement between professional and patient concerning treatment plan(s), outcomes and behaviours
What is non adherence?
when the patients actions doesnt match the agreed reccomendations
what is intentional non adherence
patients make a deliberate decision not to follow the agreed medical regimen
what is unintentional non adherence
forgetting to take the medication or not understanding
what are the impacts of non adherence?
• patient
- treatment failure
- adverse effects
• financial
- cost of meds
- cost of professionals time
• environmental impacts
what would make patients carry out intentional non adherence?
• a patient’s belief are an important driver of medicine taking
• necessity beliefs: patients evaluation of need for med eg do they think its working?
• concern beliefs: patients concerns about negative effects of med eg will this harm me?
need to communicate w patient- eg may not actually be working/ allergies/ not noticing positive effects
What is non dispensing rate?
the difference between the medicines prescribed and those actually dispensed
What is COM-B
B- behaviour
C- capability (phycological, physical)
M- motivation (reflective, automatic)
O- opportunity (physical, social)
What is compliance?
Paternalistic listening/ following instead of shared/collaborative agreement in adherence to
what constitutes good prescribing?
• maximising effectiveness
• minimising risks
• minimising costs
• respecting patient choices
what are the steps to patient centred approach?
1) aim to understand the patient’s experience
2) evidence based choice of medicines
3) ensure medicines use is as safe as possible
4) make medicines optimisation part of routine practice
what is deprescribing
the process of withdrawal of an inappropriate medication, supervised by a health care professional with the goal of managing poly pharmacy and improving outcomes
