Patient compliance

PATIENT COMPLIANCE ADHERENCE OR CAPACITANCE

1. PATIENT COMPLIANCE BY-VIKAS AAGRAHARI 7/30/2021

2. Patient compliance describes the degree to which a patient correctly follows medical advice. Most commonly, it refers to medication or drug compliance, but it can also apply to other situations such as medical device use, self care, self-directed exercises, or therapy sessions 7/30/2021

3. DIFFERENCE BETWEEN COMPLIANCE AND ADHERENCE Adherence is an active choice of patient to follow through with the prescribed treatment while taking responsibility for their own well-being. Compliance is a passive behaviour in which the patient is following the list of instructions from the doctor. 7/30/2021

4. TYPES OF PATIENT COMPLIANCE Full compliance – In this type of compliance patient take medication according to the instructions of the doctor. Partial compliance - In this patient show 20 to 50 % compliance . He or she may forget to take the medicine as per instructions. Non-compliance - The patient take medicine very irregularly Over compliance - This occur when the patient is in hope for faster relief. 7/30/2021

5. FACTORS AFFECTING MEDICATION ADHERENCE OR COMPLIANCE Social or economic factors : People who have social support from family , friends or care taker to assist with medication have better adherence to the treatment. Patient health care system related factor: A good relation between the patient and health care provider has a positive impact on adherence. Disease related factor- Adherence to long term drug administration for chronic illness often decline, significantly overtime . This often happen with less or no symptoms. 7/30/2021

6. Therapy related factor - The complexity of medication regiment have been associated with decreased adherence. Patient related factors - Physical impairment and memory impairment may increase the risk for non- adherence in older patients. 7/30/2021

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8. FACTORS AFFECTING PATIENT COMPLIANCE Educational level Psychological Factors Patient beliefs and motivation about the therapy Cost of medication Duration therapy Poor understanding of instructions Adverse effects 7/30/2021

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10. Direct objective –measure blood or urine levels of drugs Indirect objective – pill count - Prescription refill Health outcome measures – BP control, asthma severity Utilization of health care services clinic attendance Appointment making Appointment keeping Indirect subjective – patient interview & diary keeping 7/30/2021

11. To track the record weather the patient is following the prescribed medications or not: for this electronic access to patient prescription and refill records is checked. By using electronic questionnaire system in which the patient is asked about the current drug treatment and relief after starting the treatment. By appointing nurse case managers which checks the patient adherence and non-compliance at a very personal level. Utilizing pharmacist as a tool to resolve non- compliance. Long, complex and redundancy of drug regimens also lead to non compliance so; this point should also betaken care in mind while prescribing the medication. 7/30/2021

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13. ROLE OF PHARMACIST IN IMPROVING ADHERENCE Identification of risk factor Development of treatment plan Patient education Monitoring therapy Compliance aids Compliance packaging Dosage form 7/30/2021

14. REFERENCES Cline CM, Bjorck-Linne AK, Israelsson BY, Willenheimer RB, Erhardt LR ( 1999). “ Non-adherence and knowledge of prescribed medication in elderly patients with heart failure”. European Journal of Heart Failure. 145-149. “ Enhancing Patient Adherence : Proceedings of the Pinnacle Roundtable Discussion . APA Highlights Newsletter . October 2004. Niewulaat , Robby; Wilczynski , Nancy, Navarro, Tamara ; Hobson, Nicholas; Jeffery, Rebecca . ‘Interventions for enhancing medication adherence’. 7/30/2021

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