What do we know about patient compliance with treatment?
The topics of interest in the field of patient compliance were: factors that influence therapeutic non-compliance and the extent of non-compliance with treatment. Only non-compliance studies from the patient’s perspective were selected. Original studies that included fewer than 50 patients were eliminated because of inadequate sample size.
What are the factors that affect treatment compliance?
In psychiatry, treatment compliance may be affected by factors associatedwith the therapist's characteristics, the service, the nature of the treatmentand the patient's idiosyncrasies. The therapist may not adhere to therecommended treatment guidelines or the therapy manual.
Why is treatment compliance important for individuals with comorbid mental illness?
Poor treatment compliance can worsen the prognosis and significantly increase health care costs. Effective methods to improve treatment compliance for individuals with comorbid mental illness and SUDs will translate in better outcome for the patients and significant health care cost savings.
What is the rate of compliance with treatment?
The rate of compliance for short-term therapy was much higher at between 70% and 80%, while the compliance with lifestyle changes was the lowest at 20%–30% (DiMatteo 1995). Furthermore, the rates of non-compliance with different types of treatment also differ greatly.
What does compliance to treatment mean?
Treatment compliance, according to an article in the European Society of Hypertension Scientific Newsletter, defined as "… the degree to which the patient conforms to medical advice about lifestyle and dietary changes as well as to keeping appointments for follow up and taking treatment as prescribed."
What are compliance issues in therapy?
Definition of compliance Thus, therapeutic non-compliance occurs when an individual's health-seeking or maintenance behavior lacks congruence with the recommendations as prescribed by a healthcare provider. Other similar terms have been used instead of compliance, and the meaning is more or less identical.
What is compliance with treatment plan?
Compliance refers to “the extent to which a person's behavior follows medical advice or corresponds with recommendations from the health care provider…” (WHO, 2003). In fertility treatment, this means doing all treatment recommended or stopping treatment when advised to do so by the clinician (Gameiro et al., 2013b).
What does compliance mean in medical terms?
Listen to pronunciation. (kum-PLY-unts) The act of following a medical regimen or schedule correctly and consistently, including taking medicines or following a diet.
What affects compliance?
Demographic factors such as age, ethnicity, gender, education, marriage status. Psychosocial factors: beliefs, motivation, attitude. Patient-prescriber relationship. Health literacy.
Why is treatment compliance important?
Taking your medicine as prescribed or medication adherence is important for controlling chronic conditions, treating temporary conditions, and overall long-term health and well-being. A personal connection with your health-care provider or pharmacist is an important part of medication adherence.
What is meaning of the patient compliance?
Compliance is the process whereby the patient follows the prescribed and dispensed regimen as intended by the prescriber and dispenser.
Why is patient compliance important?
Adherence and compliance are pivotal in ensuring an improved health outcome for the patient especially if he is suffering from a chronic condition and needs prolonged medical attention. Examples in this category include those with cardiovascular complications, diabetes and different forms of cancer.
How do you measure patient compliance?
Medication adherence can be measured by several methods, including (a) self-report questionnaires or structured interviews, (b) therapeutic drug monitoring (TDM), (c) electronic devices, and (d) pick-up/refill rates.
What is compliance with treatment?
Compliance refers to “the extent to which a person’s behavior follows medical advice or corresponds with recommendations from the health care provider …” (WHO, 2003 ). In fertility treatment, this means doing all treatment recommended or stopping treatment when advised to do so by the clinician ( Gameiro et al., 2013b ).
Why is patient compliance important?
Patient compliance with treatment is a major issue because treatment regimens require many months or years of medication. Patient education to encourage compliance when the patient may feel no rapid benefit and to provide support if a reaction complicates the course of the disease is thus a critical part of the overall prevention strategy. Even highly infected patients become noninfectious to others almost immediately upon receiving multidrug therapy; education should emphasize that compliance with treatment is thus also beneficial to family and other close contacts.
Why is it important to ask about previous dental treatment?
Asking about extractions to account for any missing teeth is vital.
What is the mainstay drug of choice?
Dapsone, rifampin, and clofazimine remain the mainstay drugs of choice ( Table 34.3 ), used in combined multidrug therapy (MDT) regimens depending on the disease classification. Alternative agents can be used in these combinations (see Table 34.3) if there is evidence of drug intolerance or resistance.
Adherence
Adherence is a widely used general term and simply means to “stick to” though a medical dictionary also states it means “ Extent to which a patient continues an agreed-on mode of treatment without close supervision.” It carries no judgement, though admittedly it also does no explaining.
Compliance
Compliance and adherence seem to be easily interchanged and used in medical settings. Compliance might be a bit different, though, it has a connotation of willingness to fulfill treatment recommendations.
Concordance
Concordance generally means “in agreement” and is sometimes used in healthcare to state that patient and provider have come to a mutual agreement about what treatment is going to be carried out.
Persistence
Persistence “is the preferred term to refer to the duration of medication use,” according to these researchers.
Conclusion
In general, these terms are used as quick and easy ways to describe patient behavior, which often doesn’t seek to place judgement on the patient but just outcomes and are useful in research regarding treatments and medications.
What is compliance in medical terms?
Compliance is a passive behavior in which a patient is following a list of instructions from the doctor.". The article continues, noting, "Adherence is a more positive, proactive behavior, which results in a lifestyle change by the patient, who must follow a daily regimen, such as wearing a prescribed brace.
Why do patients try to alter how they approach treatment?
For example, if patients are unhappy with a treatment's effects — whether due to limited signs of improvement, slower improvement than desired, or unexpected side effects — they may try to alter how they approach treatment. This can also occur when patients experience improvements.
What are the services that patients are expected to continue treatment?
These can include specialists, imaging, rehabilitation, and laboratories. If traveling to new providers and organizations proves difficult, patients may elect not to do so.
Why is patient compliance important?
Patient compliance with treatment is a major issue because treatment regimens require many months or years of medication. Patient education to encourage compliance when the patient may feel no rapid benefit and to provide support if a reaction complicates the course of the disease is thus a critical part of the overall prevention strategy. Even highly infected patients become noninfectious to others almost immediately upon receiving multidrug therapy; education should emphasize that compliance with treatment is thus also beneficial to family and other close contacts.
What is treatment adherence?
Treatment adherence, also known as treatment integrity, refers to the degree to which a given therapy is implemented in accordance with essential theoretical and procedural aspects of the model ( Moncher & Prinz, 1991 ). Treatment adherence has important implications for the strength, replicability, and transportability of therapy models ( Moncher & Prinz, 1991; Yeaton & Sechrest, 1981 ). In fact, the widespread adoption of psychotherapy treatment manuals can be viewed as an effort to make model implementation more specific and standardized, such that prescribed interventions can be delivered reliably, and conceptually inconsistent interventions can be avoided ( Waltz, Addis, Koerner & Jacobson, 1993 ). For these reasons, treatment adherence procedures are required to verify that interventions are practiced according to model specifications. Treatment adherence procedures operate along two complementary dimensions: adherence monitoring and adherence evaluation ( Hogue, Liddle & Rowe, 1996 ). Adherence monitoring refers to “quality control” procedures exercised prior to and concurrently with ongoing treatment provision. Training, supervision, and performance review of therapists, along with documentation of clinical procedures in the form of case notes and treatment plans, are elements of adherence monitoring. Adherence evaluation refers to systematic post - hoc review of treatment implementation for the purpose of determining the degree of adherence actually obtained. Common evaluation methods include session analysis by experts in the model, therapist self-report measures, and process coding of session audiotapes or videotapes.
How long does orthodontic treatment last?
Because orthodontic treatment typically lasts 12 to 36 months, compliance levels must be sustained over this period. Demands on patient compliance increase further because compliance is required during this entire time. Also, more complex required behaviors (i.e., wearing appliances) may be difficult to maintain over a long period. Therefore it may be necessary to separate different compliance areas and individually address these with patients and parents for success in dealing with noncompliance issues. Also, continued support from the doctor and staff through communication and encouragement helps patients improve and maintain compliance.
Is there a firm empirically based strategy for assessment and enhancement of adherence?
Presently, there is no firm, empirically based strategy for assessment and enhancement of adherence. Definitions of adherence need standardization, and better assessment tools will yield more fruitful research and provide evidence-based means to enhance adherence, thus improving patient care.
Is adherence to therapy a central issue in determining therapeutic effectiveness of TB treatment?
Adherence to therapy remains a central issue in determining therapeutic effectiveness of TB treatment. There is a well-recognized need to evaluate ways for broadening DOTS to include more effective strategies for providing adherence support. Examples include evaluation of:
Why is treatment compliance important?
Treatment compliance is a crucial determinant of the outcome of any disease. Poor treatment compliance can worsen the prognosis and significantly increase health care costs. Effective methods to improve treatment compliance for individuals with comorbid mental illness and SUDs will translate in better outcome for the patients ...
What affects treatment compliance in psychiatry?
In psychiatry, treatment compliance may be affected by factors associatedwith the therapist's characteristics, the service, the nature of the treatmentand the patient's idiosyncrasies. The therapist may not adhere to therecommended treatment guidelines or the therapy manual.
What is the importance of compliance in healthcare?
Compliance is a crucial determinant of the treatment outcome of any medicalcondition. Poor treatment compliance may affect the therapeutic alliance;create skepticism in both therapist and patient; create resistance; worsen thedisease or the prognosis; and increase health care costs (Osterbergand Blaschke, 2005).
Why are adolescents with comorbid mental illness and substance abuse a unique clinical population?
Adolescents with comorbid mental illness andsubstance abuse are a unique clinical population because of the high risk thatthe problems will continue or worsen during adulthood. A retrospective recordreview of one year of admissions to a residential adolescent substance abusetreatment program showed that patients with attention-deficit/hyperactivitydisorder and those with conduct disorder had the lowest treatment compliance (Wise et al., 2001).
What is compliance in medical terms?
Compliance is the process whereby the patient follows the prescribed and dispensed regimen as intended by the prescriber and dispenser. It is defined as “the extent to which a person’s behavior (in terms of taking medications, following diets, or executing lifestyle changes) coincides with medical or health advice.” 1 Compliance with therapy is an ...
What are the two types of noncompliance?
There are two types of noncompliance: intentional and nonintentional. In nonintentional compliance, the patient is unaware that he or she is not taking the medication as prescribed. A large number of variables that may contribute to poor compliance have been described by various authors.
Is the rate of compliance accurate?
Statistics on the rates of compliance are not accurate since a gold standard for the measurement has not yet been established. Various direct and indirect methods have been used over the years, all with their own drawbacks, and therefore well-designed, standardized research on compliance is limited. 8
Is it difficult to establish accurate and reliable data on the rates of noncompliance?
It is difficult to establish accurate and reliable data on the rates of noncompliance since the methods used to measure compliance all have issues. Pharmacists should try to identify which factors are leading to noncompliance in an individual before establishing ways to increase compliance rates.
What are the effects of medication noncompliance?
Poor medication compliance (i.e., noncompliance) can have devastating effects on a patient, including an increased risk of morbidity and death. It also costs the healthcare system billions of dollars. In fact, some have called medication noncompliance "the most ignored national epidemic."
What is adherence in nursing?
Adherence includes an indication of the tenacity that patients need to achieve in sticking to a therapeutic regimen, and also takes into consideration social and environmental influences.". A Geriatric Nursing article cuts to chase with its title, "Medication adherence is a partnership, medication compliance is not.".
What is medication persistence?
Medication persistence refers to the act of continuing the treatment for the prescribed duration.". American Pharmacists Association (APhA) defines medication persistence as "the duration of time from initiation to discontinuation of therapy.".
