WEEK 5 Flashcards
Define concordance
An approach to prescribing that aims to achieve a therapeutic alliance between doctor and patient, with the goal of achieving the best use of medicines compatible with what the patient desires and is capable of achieving
What is the consultation approach relating to concordance?
Patient-centred approach
Define compliance (full/partial)
The extent to which the patient follows mutually agreeable instructions/extent to which actual drug taking behaviour matches the prescribed regimen
Define adherence
Similar to compliance but there is a stronger assumption that the regimen was discussed and agreed, differing it from the patient just being obedient
What are two forms of non-adherence?
Intentional and unintentional
Define intentional non-adherence
Where the patient makes a conscious decision not to take the prescribed medicine
Define unintentional non-adherence
Situations in which the patient intends to take the medicine but does not do so (e.g. by forgetting or not understanding how to take it)
What are five patient information needs about medication?
1) Side effects
2) What it does/what it’s for
3) Do’s and don’ts
4) How to take it
5) Supply of medication
What are three forms of formal information sources?
1) Health professionals
2) Consumer Medicine Information (CMI)-leaflet
3) Pharmaceutical websites
What are two forms of informal information sources?
1) Electronic media (internet and television)
2) Non-expert help (such as family and friends)
What are the two polar types of consultations?
‘Patient-centred’ and ‘doctor-centred’
What are 3 characteristics of a patient-centred approach to consultations?
1) Facilitates patient participation and fosters relationship of mutuality
2) Greater use of ‘open’ questions
3) Doctors spend more time actively listening to patients’ problems/feelings
What are 4 characteristics of a doctor-centred approach to consultations?
1) Assumption that doctor is the expert and the patient merely co-operates
2) Focus on the physical aspects of disease
3) Questions are mainly of a ‘closed’ nature
4) Provides little opportunity for patients to express their own beliefs and concerns
Why would using a patient-centred approach encourage greater concordance?
Patients’ concerns relating to adherence are better addressed and therefore reassurance of worries can be given
