Compliance
Extent to which a patient takes medical advice
Adherence
Extent to which patient takes the medication+ has lifestyle changes which correspond to the agreed recommendations
Non-adherence
Failing to pick up medication Stopping before the medication cycle complete Take too less or too much Not taking at the right time Health benefits aren’t there
Wider economic burden
Personal burden- if you have illness, can’t go to work, breadwinner, family ain’t surviving.
More medication needed
NHS burden- Using funds for medication, taking GP slots that could have been for others.
Social burden- Lack of workers, work done
Causes of unintentional non adherence
Memory problems
Not understand the instructions
Language barrier
Can’t afford it
Percentage of medical info not recalled after GP consultations
30-50%
Interventions to improve adherence
- Educating the patient
- Simplifying the regime
- Making it easier to remember to use the medicine
- Patient belief’s
Patient beliefs about medication
- Necessity
- Harmful
- stigma
- Reject regimen and go for alternative based off personal beliefs
Patients beliefs about illness
- Not as serious they think
- How harmful it is
- How it affects their daily life
- manage without professional help (coping mechanism)
Social support impact affecting adherence
- Higher adherence
- More encouragement, increases rapor
- More trust
Quality of trust+ communication in healthcare impacting on adherence
- There’s more trust in the NHS, more likely to adhere, increased doctor-patient relationship
- ## Better communication, more friendly, more likely to take on the advice+ go through with the treatment
What is the multidimensional model of adherence?
- Patient factors
- Psychosocial factors
- Illness factors
- Treatment factors
- Healthcare factors
