Factors Impacting On Patient Compliance with Medical Advice: Empirical Study

Krot, Katarzyna; Sousa, Jorge Pinho de

doi:10.1515/emj-2017-0016

Cited by 14 publications

(14 citation statements)

References 44 publications

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“… 6 , 20 , 21 , 27 , 28 It can be inferred that the COPD re-admission rate will be higher in men, as men have a higher prevalence of COPD, because a larger proportion of men are smokers and their compliance with medical recommendations is less than that of women. 29 Additionally, although the mechanism remains incompletely understood, factors associated with this include the susceptibility to toxin inhalation, airway structures, and female sex hormones. 30 , 31 A longer hospitalization period also implies that the disease was more severe and difficult to treat; consequently, the COPD re-admission rate is likely to be higher.…”

Section: Discussionmentioning

confidence: 99%

The Association with COPD Readmission Rate and Access to Medical Institutions in Elderly Patients

Kim¹,

Choi²,

Kim³

et al. 2021

COPD

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Purpose Up to 20% of patients with chronic obstructive pulmonary disease (COPD) require re-admission within 30 days of discharge after hospitalization for acute exacerbations of the disease. These re-admissions can increase morbidity and the economic burden of COPD. Reducing re-admissions has become a policy target in many developed countries. We investigated the risk factors for COPD re-admissions among older adults with COPD. Patients and Methods Data obtained from the National Health Insurance Service-Senior Cohort (NHIS-SC) in Korea were analyzed. The subjects included 558,147 patients aged ≥70 who had been admitted for COPD between 2013 and 2015. Re-admission was defined as being re-hospitalized within 30 days after discharge. The key variables selected from the database included income-based insurance contributions, demographical variables, information on inpatient medical services, types of healthcare facilities, and emergency time relevance index (TRI). The TRI is a regional medical-use analysis index that evaluates whether the capacity of the medical services available is appropriate for the medical needs of the target residents. Results In 814 COPD re-admission cases among 4867 total admissions due to COPD in elderly subjects, higher re-admission rates were associated with male sex, admission to district hospitals, medical aid recipients, and a longer hospital stay. When additionally adjusting the TRI to identify the difference in re-admission rates due to medical service accessibility, the same results were found, except for the areas of residence. The TRI was lower in re-admission cases (odds ratio 0.991 [95% CI, 0.984‒0.998], P = 0.013). Conclusion In this study, COPD re-admission rates among older adults were significantly associated with sex, length of hospital stay, and the type of hospital. The capacity of the medical services provided was also related to the COPD re-admission rate. Better access to appropriate emergency services is associated with reduction of COPD re-admission rates.

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Section: Discussionmentioning

confidence: 99%

The Association with COPD Readmission Rate and Access to Medical Institutions in Elderly Patients

Kim¹,

Choi²,

Kim³

et al. 2021

COPD

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“…Furthermore, all patients who did not have HE recurrence were adherent to their treatment. Likewise Krot and Sousa, (2017) [27] support these results as they stated that the increase in the degree patient compliance with medical recommendations brings considerable clinical and economic benefits for both patients and entire healthcare systems. www.nursingjournal.net Likewise Ibrahim et al, (2011) [19] were in the same line with study results as they stated that there is a positive association between good compliance and achievement of better control of chronic diseases.…”

Section: Regarding Relation Between Patient's Compliance and Severitymentioning

confidence: 87%

“…The patient may need to take medications accurately, adhere to a diet, restrict their activities, promoting rest, and seeks periodic evaluation of their health status. The role of the nurse in teaching and directing patient towards adherence is a significant one (Krot and Sousa, 2017) [27] . Patient's compliance consists a complex and multidimensional health issue.…”

Section: Introductionmentioning

confidence: 99%

Effect of patient's compliance with nursing instructions on minimizing hepatic encephalopathy

Atya¹,

Mekkawy²,

el-malek³

et al. 2019

Int. J. Adv. Res. Nurs.

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Background: Hepatic encephalopathy is a common complication occurs in 30-70% of cirrhotic patients. Aim: To evaluate effect of patient's compliance with nursing instructions on minimizing hepatic encephalopathy. Research design: Quasi-experimental design. Setting: Tropical Medicine and Gastroenterology department at El -Rajhi liver Hospital in Assuit University Hospital. Patients and Methods: Sixty adult patients child B or C liver cirrhosis. Tools: I: Structured interview patient questionnaire. II: Compliance assessment questionnaire. III: West-Haven criteria.Results: There was a statistically significant difference between study and control group patients regarding severity of hepatic encephalopathy through three months (p<0.005) and a highly significant relation was documented between compliance of patients with nursing instructions and severity of hepatic encephalopathy (p<0.001). Conclusion and recommendations:Hepatic encephalopathy was minimized among patients who complied with nursing instructions. Simplified illustrated and comprehensive Arabic language instructions hand book should be available for patients about preventive measures of hepatic encephalopathy.

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“…It can be assumed that higher trust levels are typically associated with positive behaviors. In the health care context, it may be assumed that public trust creates a higher level of patient satisfaction and leads to better compliance with medical treatment, which in turn ultimately influences the level of consumption of health-care services [ 67 ]. On the other hand, a lack of trust (mistrust) entails poor clinical relationships that exhibit less continuity, poorer adherence to the doctors’ recommendations, and a reduced degree of patient-physician interaction [ 66 ].…”

Section: Literature Reviewmentioning

confidence: 99%

How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links

Krot

Rudawska

2021

IJERPH

Self Cite

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Overconsumption of health care is an ever-present and complex problem in health systems. It is especially significant in countries in transition that assign relatively small budgets to health care. In these circumstances, trust in the health system and its institutions is of utmost importance. Many researchers have studied interpersonal trust. Relatively less attention, however, has been paid to public trust in health systems and its impact on overconsumption. Therefore, this paper seeks to identify and examine the link between public trust and the moral hazard experienced by the patient with regard to health care consumption. Moreover, it explores the mediating role of patient satisfaction and patient non-adherence. For these purposes, quantitative research was conducted based on a representative sample of patients in Poland. Interesting findings were made on the issues examined. Patients were shown not to overconsume health care if they trusted the system and were satisfied with their doctor-patient relationship. On the other hand, nonadherence to medical recommendations was shown to increase overuse of medical services. The present study contributes to the existing knowledge by identifying phenomena on the macro (public trust in health care) and micro (patient satisfaction and non-adherence) scales that modify patient behavior with regard to health care consumption. Our results also provide valuable knowledge for health system policymakers. They can be of benefit in developing communication plans at different levels of local government.

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Factors Impacting On Patient Compliance with Medical Advice: Empirical Study

Cited by 14 publications

References 44 publications

The Association with COPD Readmission Rate and Access to Medical Institutions in Elderly Patients

The Association with COPD Readmission Rate and Access to Medical Institutions in Elderly Patients

Effect of patient's compliance with nursing instructions on minimizing hepatic encephalopathy

How Public Trust in Health Care Can Shape Patient Overconsumption in Health Systems? The Missing Links

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