Everything Session 6 (Aherence, Homelessness And Healthcare) Flashcards
What is compliance?
Extent to which a patient complies with medical advice
What is Adherence?
The extent to which a parsons behaviour corresponds with agreed recommendations with a healthcare provider
What is concordance?
An agreement reached after negotiation between a patient and a healthcare professional that respects the beliefs and wishes of a patient in determining whether, when and how medicines are to be taken
What are the consequences of non-adherence?
Loss of health benefits
Wider economic burden
What are the reasons for non adherence?
Unintentional adherence
Intentional adherence
Example of Unintentionally not adhering to medication
Patients wanting to take medication but are prevented by barriers outside of their control (like poor recall/comprehension/ financial reasons)
Why might a patient Intentionally not adhering to medical advice?
Beliefs
Attitudes
Experiences
Lay beliefs
What interventions can improve (unintentional) adherence?
-Educating patient/improve their knowledge on medication
-Simplify regime (simple to follow treatment)
-Making it easier to remember to use medicine and improve the quality of interaction and trust in health care provider
What are the 5 factors involved in the model of Adherence?
-Illness factors
-Patient factors
-Psychosocial factors
-Healthcare factors
-Treatment factors
How long does homelessness usually take to occur?
A 20-30 year downward spiral
What needs to be provided to support the homeless?
-Alcohol and drug dependence support
-Mental health support
-Health assessments
-Financial support/advice
These are normally all needed since they often have co-morbidities
What are the approaches to providing good health care?
-Provide a “safe house” with a GP on duty
-Vaccinations - Hep C
-Pharmacological intervention
-Housing and social determinants
-Non-judgemental
