Patient Compliance with Medications : Issues and Opportunities book cover
1st Edition

Patient Compliance with Medications
Issues and Opportunities

ISBN 9780789026101
Published March 26, 2007 by CRC Press
252 Pages

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Book Description

Improve your patient’s health through a fresh view of their behaviors

Patients who use over-the-counter (OTC) and prescription medicine often do not take the drugs as intended, sometimes to the detriment to their health and well-being. These widespread problems cause health professionals to agonize over how to try to make sure patients comply with medication instructions. Patient Compliance with Medication: Issues and Opportunities tackles this tough issue by exploring in detail the range of noncompliance behavior, the negative impacts the behavior has on patients as well as society at large, and practical ways to influence people to take their medicine for optimum health. Respected pharmacist and author Jack Fincham and other noted experts provide insights, surprising data, and effective solutions to a challenge nearly all health professionals encounter.

Patients often use drugs they get from a multitude of sources, making the capability of monitoring drug use difficult. Other problems can also interfere with a patient’s health, such as a patient borrowing drugs from family or friends—or even not taking them at all simply because he or she are unable to pay for them. Patient Compliance with Medication: Issues and Opportunities goes beyond the standard pat explanations and mostly ineffective quick solutions usually offered for the complicated noncompliance issue. Leading authorities describe the range of reasons for a patient’s behavior and provide practical strategies that strike at the root of the problem. Helpful tables, figures, and extensive references are also included.

Topics in Patient Compliance with Medication: Issues and Opportunities include:

  • the prevalence of noncompliance
  • costs of noncompliance
  • drug therapies that lead to noncompliance
  • measuring compliance
  • models to evaluate patient compliance
  • evaluation methods
  • ethical considerations
  • health professionals’ roles in compliance
  • disease state management
  • future considerations
  • much more

Patient Compliance with Medication: Issues and Opportunities is insightful, crucial information for health professionals, educators, and students.

Table of Contents

  • About the Author
  • Contributors
  • Chapter 1. Introduction
  • Chapter 2. Scope of Noncompliance and Other Issues
  • Drugs, Pharmacists, and Insurance
  • Self-Care
  • Self-Medication
  • Patient Compliance Issues
  • Noncompliance As an Alternative
  • The Consequences of Noncompliance
  • Factors Affecting Compliance
  • Dosing
  • Devices to Aid Patient Compliance
  • Communication
  • Manufacturers
  • Summary
  • Chapter 3. Drug Therapies Leading to Noncompliant Activity (Jayashri Sankaranarayanan)
  • Introduction
  • Medication Adherence or Compliance: Definitions, Estimates, Measurement, and Interventions
  • Theoretical Aspects
  • Structure and Demand of Drug Therapies
  • Medical-Condition-Related Factors
  • Medication-Therapy-Related Factors
  • Patient-Related Factors
  • Health Professional Attributes and Health System Factors
  • Conclusions and Future Directions
  • Chapter 4. The Costs of Noncompliance
  • Introduction
  • Asthma
  • Cardiovascular and Cerebrovascular Disease
  • Diabetes
  • Infectious Disease
  • Seizures
  • The Elderly
  • Antipsychotic Therapy
  • Transplantation Pharmacotherapy
  • Chapter 5. Definitions and Measurement of Compliance
  • Definitions of Compliance
  • Noncompliance: Negative Connotations
  • Measurement of Compliance
  • Methods to Detect Compliance
  • Physicians’ Estimates of Their Patients’ Compliance
  • Can Physicians Be Noncompliant?
  • Chapter 6. Models to Evaluate Patient Compliance (Christopher Cook)
  • Health Belief Model
  • Theory of Reasoned Action
  • Theory of Planned Behavior
  • Social Cognitive Theory
  • Transtheoretical Model
  • Other Models
  • Conclusions
  • Chapter 7. Methods to Impact Patient Compliance
  • Types of Impacts on Compliance
  • Specific Ways to Improve Compliance
  • Getting into the Habit of Complying
  • Other Considerations
  • Summary
  • Chapter 8. Bridging the Gap Between Provider and Patient Variables: Concordance
  • The Concordance Movement in Concept and Action
  • Concordance
  • Chapter 9. Ethics of Compliance
  • Capital Punishment and Assisted Suicide
  • Noncompliance As a Patient Prerogative
  • Health Insurance Portability and Accountability (HIPPA) Act and Impacts Upon Compliance
  • Information Technology
  • Questionable, If Not, Unethical Practices
  • Pharmaceutical Company Research and Clinical Trials
  • Chapter 10. The Role of Health Professionals in Influencing Patient Compliance (Richard Schulz)
  • Recognize Limitations and Biases
  • Make Sense of the Vast and Contradictory Literature
  • Commitment to the Development of Best Practices Regarding Medication Adherence
  • Recent Trends in Compliance Research
  • Summary
  • Chapter 11. Disease State Management in Older Persons with Hyperlipidemia (Louis Roller and Jenny Gowan)
  • Lipid-Lowering Agents
  • Adherence to Lipid-Lowering Therapy
  • Scenario
  • Identification of Drug Therapy Problems
  • Possible Changes in Therapy and Benefits/Problems
  • Possible Changes in Therapy
  • Chapter 12. Current and Future Considerations
  • Achieving Perfection?
  • Complicated Considerations
  • Physician and Drug Effects
  • Questions (Important Factors) to Consider
  • Future Considerations with Emerging Drug Therapies
  • Where Do We Go From Here?
  • Index
  • Reference Notes Included

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