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What are adherence and compliance?
Adherence and compliance describe the degree to which a patient correctly follows medical advice. These are the next largest issues in pharmacy after patient safety. Adherence refers to the patient filling and refilling medications on time, while compliance refers to the patient taking their medications on-time and as prescribed. Adherence and compliance are applied to other situations in healthcare such as medical device use, self-care, self-directed exercises, or therapy sessions. Both the patient and the health-care provider affect adherence, and a positive physician-patient relationship is the most important factor in improving adherence and compliance.
Why are patients nonadherent and noncompliant?
Patients are non-adherent and non-compliant for a number of different factors including:
*Misunderstanding the physician/pharmacist
*Length or complexity of treatment
*Unwanted side effects
*They begin to "feel better"
There are many companies providing various solutions to solve non-adherence and non-compliance.
What does poor medication adherence and compliance lead to?
Poor medication adherence and compliance increases the amount of unnecessary complications due to:
*Reduced quality of life
*Reduced functional ability
*Increased healthcare costs
*Unnecessary medication therapy additions or changes
*Increased hospital visits
How are medication adherence and compliance different?
Medication adherence refers to a patient filling and refilling their medications in a timely fashion. Medication compliance refers to a patient taking their medications on time and as prescribed, for the full length of time. Oftentimes, the two terms are used interchangeably.
Why are adherence and compliance important to patients?
Medications do not work if patients do not take them. Adherence and compliance to medication regimens are essential for patients to improve their health. Their medication therapies will not work if they are not followed as prescribed and for the full length of time. Medication adherence/compliance is highest when the drug treatment is short-term, has predictable symptoms that improve with the medication, has minimal side effects, and is taken once per day. Unfortunately, non-adherence and poor compliance are serious drug problems in the United States and lead to complications, hospitalizations, and death.
How can a patient improve his/her adherence and compliance?
The patient should form strong relationships with their physician and their pharmacist, find a motivator to increase adherence/compliance, use one pharmacy for their medications, become knowledgeable about their condition, and have access to affordable drug regimens. This will provide patients with the best optimal health outcomes and increase their adherence and compliance.
Improve patient satisfaction and impact clinical outcomes by building trust, decreasing patient anxiety, and improving patient adherence. MedCred / MyCred Portfolios are electronic credential and achievement presentation portfolios designed to store and present an individual's educational, professional, and experiential accomplishments.Strong Healthcare Provider-Patient Relationship Improves Patient Adherence and Lowers Healthcare Co
Healthcare outcomes on an outpatient basis are influenced by patient adherence. The likelihood of adherence is dictated by the nature of the patient--practitioner relationship. Factors such as trust and strength of relationship are primary gauges of the relationship and thus, predictors of adherence. Further, non-adherence has been linked to increased healthcare costs. These concepts have been extensively described in clinical studies. It is the object of this study, then, to evaluate the correlation between patient-practitioner relationship and adherence and subsequently how that impacts various healthcare costs.The challenge of patient adherence
Leslie R Martin, Summer L Williams, Kelly B Haskard, and M Robin DiMatteo: Ther Clin Risk Manag. 2005 September; 1(3): 189-199. Published online 2005 SeptemberThe Role of Patient-Physician Trust in Moderating Medication Nonadherence Due to Cost Pressures
John D. Piette, PhD; Michele Heisler, MD, MPA; Sarah Krein, PhD, RN; Eve A. Kerr, MD, MPH; Arch Intern Med. Vol 165, Aug 2005 American Medical Association
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