NSE 21A/B Lecture Notes - Lecture 5: Patient Participation, Shared Decision-Making In Medicine, Health Belief Model
17 Oct 2015
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Document Summary
Adherence and compliance previously used interchangeably to refer to a patient"s efforts to follow health care advice. Compliance: initially defined as the extent to which a person"s behavior (ex. Taking meds, following diets, etc. ) coincides with clinical advice: patient obeys to instructions without regard to the patients" independence, autonomy and ability to take an active role in their health care. Adherence recognizes the patient"s right to choose whether or not to follow treatment recommendations: more patient centered than compliance. Refusal of treatment vs. decision-making the patient"s involvement in the decision-making process: non-adherence: patient doesn"t follow treatment recommendations that are mutually agreed upon. Adherence focuses more on patient involvement and the patient-provider relationship: to identify the key factors that contribute to the concept. Poor adherence is the main cause of ineffective treatment. Considered to be as important as the provider"s technical skills.
