treatment adherence Flashcards
define treatment adherence
congruency between behaviour and agreed health recommendations
is an active choice
define compliance
passive behaviour to follow the doctors orders
treatment to outcome is the relationship we want, what mediates this
adherence is a mediating factor in this
who are exposed to consequences of noon adherence
patient, family, doctor, health care system
consequences of patient for non adherence
worsening of condition, increased risk of disease progression, reduction of treatment effectiveness, delayed recovery and reduced life quality
conseqeunces of family for non adherence
caregiver burdens and emotions, distress, relationship strain, financial burden of care and time away, burn out of care giver
consequneces of non adherence on doctor
increased workload of having to chase patient - can lead burnout
can begin to resent patient, give up on trying to care, blame the patient which can reinforce negative stereotypes about people
consequences of non adherence on the health care system
increased health care costs, longer waiting list times, the place gets bad rep for not caring for people
how do we want to think to try best increase chances of adherence in a patient
we want to consider every patient to encounter barriers of adherence, this way we can help them navigate barriers to adherence which we assumed they may reach
how can we help adherence
apps and phone reminders, increasing knowledge and support around them, counselling, continual barrier assessment.
