Improving Patient Compliance: A Guide for Physicians

Matthews, DB; Hingson, Ralph

doi:10.1016/s0025-7125(16)31304-9

Cited by 62 publications

(29 citation statements)

References 22 publications

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“…In addition, no consistent evidence shows that subjects with greater disease severity based on clinical evaluation comply better with medications than healthier ones (Matthews and Hingson 1977;Kyngas 1999;Wild et al 2004;Seo and Min 2005). A study in patients with OSAHS found that greater disease severity based on clinical variables predicted better compliance (Wild et al 2004).…”

Section: Disease Factormentioning

confidence: 99%

“…However, a study on compliance in adolescents with asthma showed that only patients with mild severity had good compliance (Kyngas 1999). Similarly, Matthews et al suggested that the actual severity of the illness (based on the physician's clinical evaluation) was not related to compliance (Matthews and Hingson 1977). Instead of actual disease severity, perceived health status may have more signifi cant infl uence on compliance.…”

Section: Disease Factormentioning

confidence: 99%

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Factors affecting therapeutic compliance: A review from the patient’s perspective

Jin

Sklar²,

Oh³

et al. 2008

TCRM

810

248

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Objective: To explore and evaluate the most common factors causing therapeutic noncompliance. Methods: A qualitative review was undertaken by a literature search of the Medline database from 1970 to 2005 to identify studies evaluating the factors contributing to therapeutic non-compliance. Results: A total of 102 articles was retrieved and used in the review from the 2095 articles identifi ed by the literature review process. From the literature review, it would appear that the defi nition of therapeutic compliance is adequately resolved. The preliminary evaluation revealed a number of factors that contributed to therapeutic non-compliance. These factors could be categorized to patient-centered factors, therapy-related factors, social and economic factors, healthcare system factors, and disease factors. For some of these factors, the impact on compliance was not unequivocal, but for other factors, the impact was inconsistent and contradictory. Conclusion: There are numerous studies on therapeutic noncompliance over the years. The factors related to compliance may be better categorized as "soft" and "hard" factors as the approach in countering their effects may differ. The review also highlights that the interaction of the various factors has not been studied systematically. Future studies need to address this interaction issue, as this may be crucial to reducing the level of non-compliance in general, and to enhancing the possibility of achieving the desired healthcare outcomes.

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Section: Disease Factormentioning

confidence: 99%

Section: Disease Factormentioning

confidence: 99%

Factors affecting therapeutic compliance: A review from the patient’s perspective

Jin

Sklar²,

Oh³

et al. 2008

TCRM

810

248

View full text Add to dashboard Cite

show abstract

“…~3 Such a "compliance-oriented history" should be viewed as a critical extension of the usual medical history and be made a routine part of the examination process. 56 Jenkins suggests that "attention to the 'health belief model' during the diagnostic phase will identify what content should be emphasized in teaching about the specific diseases to be prevented or treated and the specific health behaviors to be encouraged. "78 Of course, knowing why many patients do not follow their regimens does not imply any particular strategy for changing their behavior.…”

Section: Modifying Health-related Attitudesmentioning

confidence: 99%

Strategies for enhancing patient compliance

Becker¹,

Maiman²

1980

J Community Health

310

111

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Patient noncompliance is a substantial obstacle to the achievement of therapeutic goals. This paper reviews a number of practical interventions with demonstrated efficacy in enhancing patient adherence, including (1) improving patients' levels of information concerning the specifics of their regimens, reinforcing essential points with review, discussion, and written instruction, and emphasizing the importance of the therapeutic plan, (2) taking clinically appropriate steps to reduce the cost, complexity, duration, and amount of behavioral change required by the regimen and increasing the regimen's convenience through "tailoring" and other approaches, (3) obtaining a compliance-oriented history of the patient's prior experiences and present health beliefs and, where necessary, employing strategies to modify those perceptions likely to inhibit compliance, (4) improving levels of patient satisfaction, particularly with the provider-patient relationship, (5) arranging for the continued monitoring of the patient's subsequent compliance to treatment, (6) increasing staff awareness of the magnitude and determinants of the noncompliance phenomenon and attempting to develop an "active influence orientation" in each member of the health care team, (7) using such techniques as patient-provider contracts to involve the patient in therapeutic decisions and in the setting of treatment objectives and creating incentives (through rewards and reinforcements) for achieving these objectives, (8) arranging for as much continuity of provider (and other staff) as possible, (9) establishing methods of supervising the patient, including involvement of the patient's social support network, and (10) involving fully the assistance of all available health care providers, assigning specific roles and responsibilities for activities directed at improving adherence to treatment.

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“…According to a study focusing on glaucoma control has found that the level of medication adherence has been positively related to health literacy (Muir et al 2006). …”

Section: Resultsmentioning

confidence: 99%

Health beliefs and functional health literacy; Interaction with the pharmaceutical services

Erdoğan¹,

Araman²

2017

Istanbul J Pharm

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Health Belief Model (HBM) has been developed by Hochbaum, Leventhal, Rosenstock and Kegeles in 1959, the United States of America, in response to the failure of a free or very low-paid Pap smear testing which was early detection of cervical cancer or Tuberculosis screening immunization program as important public health problem (Haefner and Kirscht 1970; Rosenstock 1974). Since then, HBM has been adapted to explain the relationship between beliefs and behavior of individuals about health and illness (Avcı, 2014).

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Improving Patient Compliance: A Guide for Physicians

Cited by 62 publications

References 22 publications

Factors affecting therapeutic compliance: A review from the patient’s perspective

Factors affecting therapeutic compliance: A review from the patient’s perspective

Strategies for enhancing patient compliance

Health beliefs and functional health literacy; Interaction with the pharmaceutical services

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Improving Patient Compliance: A Guide for Physicians

Cited by 62 publications

References 22 publications

Factors affecting therapeutic compliance: A review from the patient&rsquo;s perspective

Factors affecting therapeutic compliance: A review from the patient&rsquo;s perspective

Strategies for enhancing patient compliance

Health beliefs and functional health literacy; Interaction with the pharmaceutical services

Contact Info

Product

Resources

About

Factors affecting therapeutic compliance: A review from the patient’s perspective

Factors affecting therapeutic compliance: A review from the patient’s perspective