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Pharmacology > Concordance and adherence > Flashcards

Concordance and adherence Flashcards

1
Q

Definition of medication nonadherence

A

Event in which pt does not follow prescribed medication dose, frequency or regime required for optimal therapeutic effect.

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2
Q

Define the term compliance

A

Medication taken as directed by presriber

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3
Q

Define the term adherence

A

Pts behaviour meets the recommendations of the prescriber

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4
Q

Define the term concordance

A

Medication agreement between pt and prescriber taking into account pts beliefs, lifestyle and wishes

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5
Q

What percentage of patients with a chronic condition are nondherent

A

50%

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6
Q

What % of patients with chronic conditions are responsible for the number of hospital admissions

A

10%

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7
Q

How many more medical visits will a nonadherent pt with a chronic condition have?

A

3 times as many

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8
Q

5 aspects that make up the cost of medication nonadherence

A 
Medication 
Prescribing 
Hospital admission 
Emergency treatment 
Total healthcare cost
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9
Q

4 categories of medication nonadherence

A

Primary
Secondary
Intentional
Unintentional

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10
Q

Define primary nonadherence

A

Pt does not commence treatment

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11
Q

Define secondary nonadherence

A

Pt does not adhere to treatment

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12
Q

Define intentional nonadherence

A

Pt chooses to be nonadherent

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13
Q

Define unintentional nonadherence

A

Pt isnt nonadherent by choice

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14
Q

You can know the type of medication nonadherence without talking to pt, true or false?

A

False

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15
Q

2 classes of measuring medication nonadherence

A

Objective

Subjective

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16
Q

3 objective measures of medication nonadherence

A

Pill counter
Electronic scanner
Biochemical measures

17
Q

4 subjective measures of medication nonadherence

A

Asking pts
Perceived burden scale
Talking about medicines
Morisky scale

18
Q

7 factors involved in medication non-adherence

A 
Demographics 
Sociocultural 
Behavioural 
Provider 
Disease 
Medication 
System
19
Q

What should be the 4 focuses of pt with unintentional non-adherence?

A

Decrease pill burden
Frequency
Reminders
Ease of administration

20
Q

3 tools to help with unintentional non-adherence

A

Medication complexity index
Incentives to encourage compliance
Reduce costs

21
Q

What 2 factors should be focused on in pt with intentional non-adherence?

A

Identifying and addressing reasons

Tailoring interventions

22
Q

3 methods of improving pts intentional non-adherence

A

Motivational interviewing
Clear simple messages
2 way communication

23
Q

Medication adherence in acute illness is defined as an …

A

Activity

24
Q

Medication adherence in chronic illness is defined as a …

A

Behaviour

Pharmacology (10 decks)

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