Patient Compliance: Fact or Fiction?

Abstract

The word ‘compliance’ comes from the Latin word complire, meaning to fill up and hence to complete an action, transaction, or process and to fulfil a promise. In the Oxford English Dictionary, the relevant definition is ‘The acting in accordance with, or the yielding to a desire, request, condition, direction, etc.; a consenting to act in conformity with; an acceding to; practical assent”. Compliance with therapy is simply patients understanding of medication, motivation toward having this medication is a prescribed manner with the belief that the prescriber and prescribed medicine will be beneficial for his well-being. Although this is often the case, in a number of situations, the physician and pharmacist have not provided the patient with adequate instructions or have not presented the instructions in such a manner that the patient understands them. Nothing should be taken for granted regarding the patient’s understanding of how to use medication, and appropriate steps must be taken to provide patients with the information and counseling necessary to use their medications as effectively and as safely as possible. 20% to 30% of new prescriptions are never filled at the pharmacy. Medication is not taken as prescribed 50% of the time. For patients prescribed medications for chronic diseases, after six months, the majority take less medication than prescribed or stop the medication altogether. There are both federal and state laws that make using or sharing prescription drugs illegal. If someone take a pill that was prescribed to someone else or give that pill to another person, not only is it against the law, it's extremely dangerous.
 
 Article Type: Commentary

Antibiotics non-adherence and its associated factors among households in southern Ethiopia

“…Moreover, a positive provider–patient relationship reinforces and motivates patients to stick to treatment regimens. 16 …”

“… 12 However, according to different studies, the prevalence of antibiotic non-adherence ranges from 15% to 93%, with an international average of 50%. 13 – 16 …”

Clinical pharmacists in chronic care

“…59 More than 35% patients did not receive any diabetes education, while 30% diabetic patients were compliant with drug regimens and the noncompliance was higher among the lower socioeconomic groups. 60 Pharmacist may provide a face-to-face counseling regarding knowledge on diabetes, self-monitoring of blood glucose, regular checkup of systolic blood pressure, body weight, and serum cholesterol levels. The pharmacist may also counsel regarding non-pharmacological management strategies such as diet control, exercise therapy, and early identification of symptoms of hypoglycemia (blurred vision, rapid heartbeat, sweating, fatigue, headache, dizziness, trouble thinking, seizures, and coma) and its management.…”

Clinical Pharmacists in Chronic Care [Part 2]

“…About half of diabetesrelated mortality (48%) occurs in people younger than 60 years and it continues to reduce life expectancy by 6-8 years in people diagnosed at the age of 50 years [59]. More than 35% patients did not receive any diabetes education, while 30% diabetic patients were compliant with drug regimens and the non-compliance was higher among the lower socioeconomic groups [60]. Pharmacist may provide a face-to-face counseling regarding knowledge on diabetes, self-monitoring of blood glucose, regular checkup of systolic blood pressure, body weight, and serum cholesterol levels.…”