S6: Adherance and Homelessness and Healthcare Flashcards
What are adherence and compliance, how has the usage of these terms changed?
Compliance is the extent to which a patient complies with medical advice - the patient does as they’re told - more passive
Adherence is the extent to which a person’s behaviour corresponds with agreed recommendations from a healthcare provider.
Adherence as a term is more favoured now as its more patient-centred - there’s a need for agreement from the patient
What is concordance?
It is an agreement made between the patient and the healthcare provider after negotiation about how when and what medications will be taken. Respects the beliefs and wishes of the patients
What are some examples of non-adherence?
Failure to pick up prescriptions or repeat prescriptions
Stopping the medication before the course is complete
Taking more or less of the medication than is prescribed
Taking medications at the wrong time or missing does
Taking some but not all medications
What are some consequences of non-adherence?
Health benefits forgone
WIder economic burden (personal, health and social cost)
Why don’t people adhere to treatment?
Practical problems - unintentional non-adherence - poor recollection or comprehension, difficulties in administering treatment, forgetting, inability to pay
They don’t want to - intentional non-adherence - based on beliefs attitudes and expectations
What are some common interventions to improve adherence?
Educating the patient on the medication
Simplifying the regime
Making it easier to remember to use the medicines - physical aids and remembers
What are the contributing factors to eh multi-dimensional model of adherence?
Patient factors - beliefs and understanding, memory etc
Illness factors - symptoms, severity
Treatment factors - preparation, side-effects, complexity, experience, efficacy. stigma
Psychological factors - social support, psychological health
Healthcare factors - Setting, Dr-Pt interactions, communication. concordance
