PSYC 3110 Study Guide - Final Guide: Pertussis, Genomics, Reductionism
9 Apr 2018
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Title definition study: widely researched health behaviour, centrality of prescription medicines, responses, take medicine as prescribed, don"t get the prescription, don"t take correct dose, don"t take at correct times, stop medicine before course is completed, compliance adherence concordance. In general 50-75% don"t follow directives: varies across medication related behaviour (type of medicine and what it"s for, 14-21% don"t fill prescriptions, 60% can"t identify own medication, 30-50% ignore medical instructions, 12-20% take other people"s medication. Consequences: 125,000 die of inappropriate medication use, nursing home admission due to inappropriate medication use, hospital costs due to non-adherence . 5 billion. Insufficient focus on patient perspective (vermeire et al. ) Factors of non-adherence: patient characteristics, disease characteristics, treatment factors, social and organisational setting. Influence of disease: lower adherence with asymptomatic chronic disease, more likely with obvious symptoms, lower adherence when prognosis is poor. Treatment: more complicated treatments= less adherence, longer treatments = lower adherence, character of treatment.
