Doctor's Orders

Chren, Mary‐Margaret

doi:10.1001/archderm.138.3.393

Cited by 14 publications

(6 citation statements)

References 12 publications

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“…It has been suggested that patients who were more emotionally affected by skin conditions were more likely to adhere to therapy [2]. At the beginning of the study, females who went on to ‘sometimes/never’ use the treatment scored significantly higher than women who used it ‘every day’.…”

Section: Discussionmentioning

confidence: 98%

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Self-Reported Adherence to Treatment and Quality of Life in Mild to Moderate Acne

Jones‐Caballero

Pedrosa²,

Peñas

2008

Dermatology

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Background: Adherence to treatment is a mayor issue in dermatology, and its relationship to quality of life has barely been studied. Objective: To evaluate the relationship between scores on the Skindex-29 skin disease assessment scale and adherence to treatment in patients with acne. Methods: An observational, prospective study of 1,628 patients carried out by 252 clinicians in Spain. Results: Adherence was related to better objective and subjective severity index scores and better Skindex-29 scale scores at the end of the study. Young, male and unemployed patients had the worst adherence scores. Baseline and final Skindex-29 scale scores were significantly worse in non-adherent females, while non-adherent males scored better. Reasons for non-adherence were side effects for older patients and forgetfulness for younger ones. Conclusion: Dermatologists should explain that adherence to treatment is linked to better outcomes and better quality of life. Young females with high Skindex-29 scale scores and males with low Skindex scores are especially prone to non-adherence.

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Section: Discussionmentioning

confidence: 98%

“…Non-adherence is an important issue in medicine and dermatology [1, 2]. It is the core of pharmionics, the study of what patients do with prescribed medications [3].…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Adherence to Treatment and Quality of Life in Mild to Moderate Acne

Jones‐Caballero

Pedrosa²,

Peñas

2008

Dermatology

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“…Several researchers have found that improved compliance leads to enhanced diagnostic effectiveness and disease treatment, with considerable economic benefits [17,18]. These days, the patient—health care provider relationship has a wide scope, ranging from compliance [19,20,21] to concordance, as a shared decision-making process [22,23]. However, as a consequence of non-compliance, lack of access to healthcare resources, or other objective or subjective factors, patients often self-treat their wounds [24,25].…”

Section: Introductionmentioning

confidence: 99%

“Wounds Home Alone”—Why and How Venous Leg Ulcer Patients Self-Treat Their Ulcer: A Qualitative Content Study

Žulec

Rotar-Pavlič

Puharić³

et al. 2019

IJERPH

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Background: Venous leg ulcers (VLUs), the most common type of leg ulcerations, have long healing times and high recurrence rates; reimbursement rules and a general shortage of nursing staff have put self-treatment into focus. The study aimed to investigate why and how patients with VLUs self-treat their ulcers. Methods: Patients with VLUs (N = 32) were selected by criterion sampling for a multicentric qualitative study using semi-structured interviews. The interviews were analyzed via inductive qualitative content analysis. Results: More than two-thirds of participants sometimes self-treated VLU and one quarter changed their prescribed treatment. Experiences were expressed through four themes as follows: (a) current local VLU therapy; (b) VLU self-treatment; (c) patient education; and (d) psychosocial issues. The main reasons for self-treatment were a lack of healthcare resources, reimbursement restrictions, and dissatisfaction with conventional treatment together with insufficient knowledge about the wound-healing process and possible side effects. No educational materials were provided for patients or caregivers. Many patients adopted homemade remedies. Conclusion: Patients with VLUs practice self-care due to limited healthcare availability, a low awareness of the causes of their condition, and the effects of therapy on VLU healing. Future educational intervention is needed to enhance self-treatment.

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“…We are familiar with direct and indirect procedures to determine compliance, which cannot be discussed in detail here (5,8). Table I presents a summary of these procedures.…”

Section: Concordance and The Limits Of Compliancementioning

confidence: 99%

“…Adherence means the patient participates in the decisional process of medical rules. This model corresponds more to an informative process, also called a "consumer model" and is strongly characterized by cognitive "interpretation of the doctor-patient relationship, which presumes a largely affect-neutral structure of the information exchange" (4,5).…”

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confidence: 99%

Patient–Doctor Relationship in Dermatology: From Compliance to Concordance

Taube¹

2016

Acta Derm Venereol

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The concept of what the doctor–patient relationship should be has changed increasingly in recent years. Previously, an asymmetric relationship was assumed. Compliance and adherence are terms used currently. The concordance model goes further and examines the effectiveness of the mutual process between the doctor and the patient. In this model the interaction is two-sided and involves finding a decision as partners. The origins of this approach are to be found in psychoanalytic theory.

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Doctor's Orders

Cited by 14 publications

References 12 publications

Self-Reported Adherence to Treatment and Quality of Life in Mild to Moderate Acne

Self-Reported Adherence to Treatment and Quality of Life in Mild to Moderate Acne

“Wounds Home Alone”—Why and How Venous Leg Ulcer Patients Self-Treat Their Ulcer: A Qualitative Content Study

Patient–Doctor Relationship in Dermatology: From Compliance to Concordance

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