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adherence revision 2

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Heulwen Davies

on 27 April 2010

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Transcript of adherence revision 2

The question A wide range of social and psychological factors have been associated with patient non-adherence to prescribed medical regimens. With reference to relevant research studies, critically discuss this phenomenon in terms of ONE of the following factors:
the characteristics of the patients and the disorders they have,
the treatments they are given
the relationship they have with their health practitioners

•Demonstrate an understanding of the theories and research in health psychology used to explain behaviours and cognitions related to health and illness
•Demonstrate a basic knowledge and understanding of current research studies and attempt to evaluate and critically discuss the research material presented
learning outcomes the problem introduction
Terminology
•Compliance – following doctor’s orders implies obedience
•Adherence or cooperation is very similar in meaning
•Concordance describes the process whereby the patient and doctor reach and agreement on how a drug will or not be used
It is estimated that between 40% and 60% of people do not take medication as prescribed, Unintentional non-adherence occurs when the patient wants to follow the agreed treatment but is prevented from doing so by barriers that are beyond their control. The characteristics of the patients and the disorders they have The treatments they are given the relationship they have with their health practitioners Dr patient relationship communication Good communication between healthcare professionals and patients is needed for involvement of patients in decisions about medicines and for supporting adherence.
Some patients may find it easier to communicate with their healthcare professional than others Polypharmacy side effects instructions Physical difficulty in complying cost Unattractive formulation Patient characteristis Conditions HIV Asthma Psychological problems demographics Cognitive problems Chronic illness Perception of risk Patient non-adherence There is evidence that patients make decisions about medicines based on their understanding of their condition and the possible treatments, their view of their own need for the medicine and their concerns about the medicine Essential reading
WHO ADHERENCE TO LONG-TERM THERAPIES: EVIDENCE FOR ACTION Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence (2009)
Royal College of General Practitioners
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