Public health

Question 1

What percentage of medicines for chronic conditions are not taken as prescribed?

Answer 1

30-50%

Question 2

Why has the term adherence replaced compliance?

Answer 2

Compliance is older terminology, assumes that the doctor knows best. Adherence acknowledges the importance of patients beliefs

Question 3

What are 6 examples of patient non-adherence?

Answer 3

1. Not taking prescribed medication
2. Taking bigger or smaller doses than prescribed
3. Taking medication more or less often than prescribed
4. Stopping the medicine without finishing the course
5. Modifying treatment to accommodate other activities
6. Continuing behaviours against medical advice

Question 4

Name 4 unintentional (practical) barriers for non-adherence

Answer 4

1. Difficulty understanding instructions
2. Problems using treatment
3. Inability to pay]
4. Forgetting

Question 5

Name 3 intentional (motivational) barriers for non-adherence

Answer 5

1. Patients’ belief about their health/ condition
2. Beliefs about treatments
3. Personal preferences

Question 6

How does the Necessity-Concerns Framework affect adherence?

Answer 6

If the patient has increased necessity beliefs (feels they need the medicine) and decreased concerns (about the medicine and it’s side effects) then they have increased adherence

Question 7

What are the 4 impacts of good doctor- patient communication?

Answer 7

1. Better health outcomes
2. Higher adherence to therapeutic regimens in patients
3. Higher patient and clinician satisfaction
4. Decrease in malpractice risk

Question 8

what is the definition of adherence?

Answer 8

The extent to which the patient’s actions match the agreed recommendations