Evaluation of Patients' Compliance with Medical Practitioners' Prescriptions: University Health Center Experience

Parsons, Robert J.; Wright, N D; Wilson, Lauren

doi:10.1080/01644300.1980.10392942

Cited by 12 publications

(5 citation statements)

References 9 publications

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“…Others are health education, behavioral oriented programmes, tailoring medication taking to daily habits, and treatment contracts. The most significant finding for treatment adherence is the information given to the patient by the doctor as opposed to other healthcare providers, which increased the need required by the patient to take the medication [30, 31].…”

Section: Discussionmentioning

confidence: 99%

Adherence to Dihydroartemisinin-Piperaquine Treatment among Patients with Uncomplicated Malaria in Northern Ghana

Oduro

Chatio

Beeri

et al. 2019

Journal of Tropical Medicine

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Treatment adherence has been described as the process whereby patients take medications, follow diet, and effect other lifestyle changes that relate to agreed recommendations from healthcare providers. The determinants of such treatment adherence include patient, the health condition, therapy type, socioeconomic conditions, and the healthcare system. The study examined adherence in malaria patients treated with dihydroartemisinin-piperaquine in routine clinical care in northern Ghana. The study was conducted in Navrongo Health Research Centre in the Kassena-Nankana district of northern Ghana. Patients confirmed with uncomplicated malaria were prescribed dihydroartemisinin-piperaquine in blister packs to be taken daily for three days. Follow-up visits were made on days 3 and 28 after diagnosis to collect data on adherence, drug safety and therapeutic effectiveness. During follow-up visits, in-depth interviews were conducted and the blister packs directly observed for the number of tablets remaining. The in-depth interviews documented day-by-day account of doses taken, number of tablets taken during each dose, time of each dose, reasons for any leftover or missed dose, and whether or not there was vomiting. Treatment adherence was classified as definitely nonadherent, incomplete adherence, and completely adherent. A total of 405 patients were screened; 299 were positive by rapid diagnostic testing and 216 by microscopy. The average age was 12 years and females represented 54.0%. All participants completed day 3 follow-up but 12.7% had leftover pills. Treatment adherence was 50.9% (95% CI 44.1, 57.8), 36.1% (95% CI 29.7, 42.9), and 13.0% (95% CI 8.8, 18.2) for completely adherent, incomplete adherence, and definitely nonadherent, respectively. All completely adherent patients were free of parasitemia on day 28 of follow-up. A total of 49 adverse events related to malaria symptoms were documented. Effort to improve adherence should be individualized as it is dependent on a number of factors such as the patients’ temperament, the disease, support at home, and complexity of treatment.

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Section: Discussionmentioning

confidence: 99%

Adherence to Dihydroartemisinin-Piperaquine Treatment among Patients with Uncomplicated Malaria in Northern Ghana

Oduro

Chatio

Beeri

et al. 2019

Journal of Tropical Medicine

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“…Parsons et al. showed that only 36% of college students completed their course of treatment for numerous disorders (5). Acne medication compliance in this study was only 12.5%.…”

Section: Disease‐related Considerationsmentioning

confidence: 99%

Tricks for improving compliance with acne therapy

Baldwin

2006

Dermatol Ther

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Adherence to a medical regimen is the most important aspect of therapeutic efficacy. It goes without saying that a drug that is not used will not be effective. Reasons for noncompliance can be related to the specific disease state, to characteristics of the drugs chosen, to patient personality traits, and to effectiveness of the clinician in dealing with the individual patient. Recognizing, confronting, and improving noncompliant behavior are all part of an effective doctor-patient relationship.

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“…The compliance rate for students taking an unspecified acne medication was 12.5%. Compliance was not influenced by giving students patient information cards or by students recording the doses taken 13 …”

Section: Discussionmentioning

confidence: 95%

Factors related to patient compliance in the treatment of acne vulgaris

2003

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Demographic factors, such as gender, race, method of payment for medical services, and type of therapy prescribed, were more important in determining appointment keeping behavior than were patient attitudes and beliefs, previous therapy, or severity of acne. Although there was no correlation between appointment keeping and knowledge of the condition, knowledge of the medication, severity of acne, age, or previous medical treatment, relationships were observed between demographic factors and appointment keeping.

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Evaluation of Patients' Compliance with Medical Practitioners' Prescriptions: University Health Center Experience

Cited by 12 publications

References 9 publications

Adherence to Dihydroartemisinin-Piperaquine Treatment among Patients with Uncomplicated Malaria in Northern Ghana

Adherence to Dihydroartemisinin-Piperaquine Treatment among Patients with Uncomplicated Malaria in Northern Ghana

Tricks for improving compliance with acne therapy

Factors related to patient compliance in the treatment of acne vulgaris

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