KEY WORDS- ADHERENCE AND NON-ADHERENCE

Question 1

What is adherence?

Answer 1

• The degree to which a patients behaviour corresponds with the reccomendations of a healthcare professional.

Question 2

What is non-adherence?

Answer 2

• The degree to which a patients behaviour does NOT correspond with the reccomendations of a healthcare professional.
• Due to patients beliefs and preferences.

Question 3

Why would a patient not follow the reccomendations of a healthcare professional?

Answer 3

• Beliefs
• Preferences

Question 4

What are the 2 main types of NON-ADHERNECE?

Answer 4

1)Failure to follow treatments (not taking medications or following advice as perscribed)
2)Failure to attend appointments (missing scheduled appointments)

Both cause side effects and due to different reasons.

Question 5

Failure to follow treatments can be broken down into 3 different types. What are they?

Answer 5

1. Primary non-adherence
2. Non-persistence
3. Non-conforming

PCP=Failure to follow treatments.

Question 6

What is primary non-adherence?

Answer 6

When a doctor writes a prescription, but the medication is never collected and the patient never gets the medication or an alternative within an acceptable time period.

Failure to follow treatment (1)

Question 7

What is non-persistence?

Answer 7

When a patient begins taking medication but stops without medical advice. This is often unintentional and can result from misunderstandings with the doctor or difficulties like cost, access, or forgetting

Question 8

What barries may occur when a patient is attempting to follow treatments?

Answer 8

• Cost
• Access

Question 9

What is non-conforming?

Answer 9

• When the medication is not taken as prescribed.
• Including missing doses, incorrect times or incorrect doses.

Question 10

What did Taylor (1990) suggest?

Answer 10

• 93% of patients fail to adhere to SOME aspect of their TREATMENT.

Question 11

• 93% of patients fail to adhere to SOME aspect of their TREATMENT.

Answer 11

Taylor (1990)

Question 12

Explain some problems that can be caused by failure to attend appointments?

Answer 12

1. Time lost: Leads to wasted time and resouces/delays in care for other patients/ financial losses..
2. Impact on research: Researchers cannot move foward in their research if treatment courses are incomplete.

Question 13

What are some problems caused by failing to follow treatment?

Answer 13

1. Illness progression
2. Reduced functional abilities
3. Increased use of medical resources
4. Reduced quality of life

Question 14

Explain some problems caused by failing to follow treatment?

Answer 14

1. Illness progression: Progression may require more invasive, stronger treatments.
2. Reduced functional abilities: Progression can affect patients functional abilities.
3. Increased use of medical resources: Progression may require hospitlisation, invasive, stronger treatments.
4. Reduced quality of life: Progression leads to worsening systems

Question 15

What is rational adherence?

Answer 15

Refers to situations in which a patient consciously and rationally decides not to adhere to medical advice based on a reasoned assessment of the costs/benefits of taking mediction/ treatment.