Patient compliance-an overview

Abstract

SUMMARYThis article reviews the major topic areas of compliance research. Much of the research in the area has focused on measurement, extent, and determinants of non-compliance. Research on the effectiveness of educational and behavioural strategies to improve compliance suggests the need to combine them. While some authors have attempted to model compliance or medication-taking behaviours, these models cannot be applied widely.After decades of compliance research, very little consistent information is available, except that people do not take their medications as prescribed. The methodological rigour of compliance studies may partially contribute to this situation. Methodological flaws have included design features and study execution. In addition, researchers have proceeded with studies without regard to a theoretical framework.Many have argued that much of the existing compliance literature also lacks conceptual rigour. Although we know that people do not take their medications consistently, we do not know specifically why they have done so. One reason for this lack of understanding is that compliance research has been dominated by the perspective of the health professional. To better understand medicationtaking behaviour, researchers need to examine the patient's perspective. Consequently, future research needs to investigate a patient's decisionmaking process and the reasons for those decisions.

Szívinfarktust túlélt betegek terápiahűsége a másodlagos megelőzés szempontjából fontos gyógyszeres kezelésekhez

“…A klinikai vizsgálatokban közölt magas (≥80%) adherenciaértékeknél a mindennapi gyakorlatban lényegesen alacsonyabb -30-50% közötti a betegek terápiahűsége [12,13]. A Yusuf [14] által koordinált, több kontinensen végzett PURE vizsgálat megdöbbentő adatokat publikált ebben a kérdésben: igazolta, hogy a szegényebb országokban, illetve a vidéki népesség között különösen alacsony a szekunder prevencióban alkalmazandó gyógyszerek alkalmazása.…”

Airports at risk: the impact of information sources on security decisions

“…Thus, information passed along by friends or coworkers with whom the employee has a long association of mutual interaction appears to be seen as more reliable than simply "orders" or "protocols" from an unknown, anonymous administrative source or even their direct boss (Willemyns et al, 2010). 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 If we put the emphasis on compliance to rules or protocols themselves and not specifically to security decisions, we find that low compliance is very common (Haynes & Dantesa, 1987) with individuals simply not complying with directives or orders (Morris & Schulz, 1992). One possible but promising explanation why certain people follow the rules and others do not has been put forward by utilizing theories of Organizational Citizenship Behavior (Shropshire, 2009).…”

Understanding individuals' response to erectile dysfunction

“…21 Improving compliance Even when patients do seek treatment, compliance with prescribed medication can be poor; for a broad range of chronic diseases, compliance has been estimated to be of the order of 50%. 22 There has been extensive research into the reasons or predictors for non-compliance, and although literally hundreds of factors have been examined, no consistent predictors have been found to be generally applicable. 22 However, a number of factors have been identified, including duration and complexity of the prescribed behavior change, cultural attitudes and characteristics of the health professional (for example, empathy of the provider; extent to which the professionals elicit confidence in their competence).…”