Unformatted text preview: patient took the
pills or the correct number of pills.
pills Recovery – if they recovered, they must have
adhered to medication instructions.
adhered Not necessarily true Other variables may mediate relationships between
medication adherence and recovery.
medication Causes of Adherence Good communication Understanding/Comprehension Satisfaction with Communication (warm, caring) Jargon free explanation of etiology, diagnosis, and
treatment Ask patient to repeat recommendations and
physician can clarify any
misunderstandings. Encourage patient to ask questions and
answer patient questions.
answer Provide recommendations in written form. Try to get patient to commit to adherence
(“So, do you think you can do this?”)
(“So, Qualities of the Treatment Regimen can
influence degree of adherence.
influence Low adherence for treatments that are: Long term
Complex (e.g. taking blood sugar readings)
Interfere with desired activities Advice more likely to be adhered to if it is
perceived as “medical” (take medications) than
as vocational (rest, take time off from work)
and even lower if perceived if
social/psychological (avoid stressful social
situations). Nonadherent patients cite: Lack of time
Lack of money
Distracting problems at home as barriers to adherence. Adherence is higher among patients with
cohesive families and lower among those with
families in conflict.
families Depressed people are less adherent. Some patients engage in creative
nonadherence. Lower income patients - lower dosage to make
medicine last longer.
medicine Keep some medication to give to sick family
member. If patient does not understand dosage, they
may not take any for fear of overmedicating.
may May stop medication because of unpleasant
side Nonadherence may come from patient’s
private theories or schemas about the disorder
and Example: May use OTC drugs to supplement
doctor’s prescribed meds, which could interact
in negative ways.
in Example: If 2 pills a day for 10 days will cure
the problem, then 4 pills a day for 5 days will
cure twice as fast.
cure So often nonadherence is intentional as well as
accidental. Another by-product of poor patient-provider
communication has been a very large increase
in malpractice lawsuits.
malpractice Malpractice lawsuits also tied to complexity of
the healthcare system – may not sue the
physician but will sue the institution/hospital
since they convince them the money will not
be Research suggests that lawsuits were initiated
against physicians who were:
against Fearful of patients
Insecure with patients
Derogatory toward patients, ignored, rudely
dismissed Patients want: Want a clear (not evasive) apology from do...
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- Fall '11
- Health care provider, treatment regimens