Do you know about 80% of patient are non-compliant !!! What is Compliance !!!
In medicine, compliance (also adherence or capacitance) describes the degree to which a patient correctly follows medical advice. Most commonly, it refers to medication or drug compliance, but it can also apply to other situations such as medical device use, self-care, self-directed exercises, or therapy sessions. Both the patient and the health-care provider affect compliance, and a positive physician-patient relationship is the most important factor in improving compliance although the high cost of prescription medication also plays a major role.
Compliance is commonly confused with concordance. Concordance is the process by which a patient and clinician make decisions together about treatment.
The concept of ‘compliance’ is notoriously difficult to measure. However it is estimated that up to 80% of patients may be ‘non-compliant’ in taking their medicines, although there is significant variation between patient groups and types of illness (Carter and Taylor, 2003).
Worldwide, non-compliance is a major obstacle to the effective delivery of health care. Estimates from the World Health Organization (2003) indicate that only about 50% of patients with chronic diseases living in developed countries follow treatment recommendations.
Compliance can be described as unintentional (where the patient simply forgot to take a prescribed medicine) or intentional (where the patient consciously decides not to). In the latter case in particular, causes of non-compliance are complex.
Major barriers to compliance are:
-thought to include the complexity of modern medication regimens,
– poor “health literacy” and
– lack of comprehension of treatment benefits,
– the occurrence of undiscussed side effects,
– the cost of prescription medicine, and
– poor communication or
– lack of trust between the patient and his or her health-care provider.
However, elderly patients are more likely than average members of the overall population to:
-have a lower literacy level than other age groups
-take multiple medicines with high dose frequencies
-have decreased dexterity and/or cognitive functioning
– more than one-third of people with poor or very poor health had literary skills of Entry Level 3 or below
– Young adults may stop taking their medication in order to fit in with their friends, or because they deny their illness
Posted on January 21, 2013, in Uncategorized. Bookmark the permalink. Leave a comment.
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