How patient’s adherence could be improved - a short review

Introduction  The issue of patients’ adherence to doctor’s instructions has been widely discussed in medical and popular newspapers in the recent years. Inadequate patient’s adherence is a great problem in medicine, which negatively affects treatment endpoints. Poor adherence is most often seen in...

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Main Authors: Oktawia Julia Pylak-Piwko, Barbara Nieradko-Iwanicka
Format: Article
Language:English
Published: Kazimierz Wielki University 2017-08-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/27470
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author Oktawia Julia Pylak-Piwko
Barbara Nieradko-Iwanicka
author_facet Oktawia Julia Pylak-Piwko
Barbara Nieradko-Iwanicka
author_sort Oktawia Julia Pylak-Piwko
collection DOAJ
description Introduction  The issue of patients’ adherence to doctor’s instructions has been widely discussed in medical and popular newspapers in the recent years. Inadequate patient’s adherence is a great problem in medicine, which negatively affects treatment endpoints. Poor adherence is most often seen in treatment of chronic diseases, where irregular use of prescribed medication makes good disease control impossible. It is estimated that 50% of patients suffering from chronic diseases do not adhere to doctor’s instructions. Objective The aim of the review is to identify factors affecting adherence and to look for possible methods of its’ improvement. Methods              Twenty seven articles about adherence and compliance published between 2005 and 2017 were reviewed. Results and discussion             The term ‘adherence’ is defined as the degree, to which patient’s behavior is in agreement with medical advice provided by a health care professional in respect to the use of medication, dieting and lifestyle changes. In hospital wards adherence is as high as 100%, but at home after 6 months of therapy less than 50% of patients continue taking prescribed medication. Systemic review of factors affecting inadequate adherence and ones that might improve the level of patients’ adherence was done. Conclusions             Inadequate adherence may cause serious health  problems and is a heavy burden for the healthcare system. It increases morbidity, disability and mortality rates. It was found that several factors affect patient’s adherence. It is impossible to point out one the most important risk factor. Only a good cooperation between the physician and the patient may  lead to good adherence and effective treatment.
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spelling doaj.art-9e8f37c777304d3583cf78650685775a2022-12-22T01:05:35ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062017-08-0178How patient’s adherence could be improved - a short reviewOktawia Julia Pylak-Piwko0Barbara Nieradko-Iwanicka1Casulty Department of Oncology Centre of Ziemia Lubelska, LublinAcademic Department and Hygiene Institution, Medical University in Lublin Introduction  The issue of patients’ adherence to doctor’s instructions has been widely discussed in medical and popular newspapers in the recent years. Inadequate patient’s adherence is a great problem in medicine, which negatively affects treatment endpoints. Poor adherence is most often seen in treatment of chronic diseases, where irregular use of prescribed medication makes good disease control impossible. It is estimated that 50% of patients suffering from chronic diseases do not adhere to doctor’s instructions. Objective The aim of the review is to identify factors affecting adherence and to look for possible methods of its’ improvement. Methods              Twenty seven articles about adherence and compliance published between 2005 and 2017 were reviewed. Results and discussion             The term ‘adherence’ is defined as the degree, to which patient’s behavior is in agreement with medical advice provided by a health care professional in respect to the use of medication, dieting and lifestyle changes. In hospital wards adherence is as high as 100%, but at home after 6 months of therapy less than 50% of patients continue taking prescribed medication. Systemic review of factors affecting inadequate adherence and ones that might improve the level of patients’ adherence was done. Conclusions             Inadequate adherence may cause serious health  problems and is a heavy burden for the healthcare system. It increases morbidity, disability and mortality rates. It was found that several factors affect patient’s adherence. It is impossible to point out one the most important risk factor. Only a good cooperation between the physician and the patient may  lead to good adherence and effective treatment. https://apcz.umk.pl/JEHS/article/view/27470compliancemedicationadvice
spellingShingle Oktawia Julia Pylak-Piwko
Barbara Nieradko-Iwanicka
How patient’s adherence could be improved - a short review
Journal of Education, Health and Sport
compliance
medication
advice
title How patient’s adherence could be improved - a short review
title_full How patient’s adherence could be improved - a short review
title_fullStr How patient’s adherence could be improved - a short review
title_full_unstemmed How patient’s adherence could be improved - a short review
title_short How patient’s adherence could be improved - a short review
title_sort how patient s adherence could be improved a short review
topic compliance
medication
advice
url https://apcz.umk.pl/JEHS/article/view/27470
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