The challenge of patient adherence

摘要: Quality healthcare outcomes depend upon patients' adherence to recommended treatment regimens. Patient nonadherence can be a pervasive threat health and wellbeing carry an appreciable economic burden as well. In some disease conditions, more than 40% of patients sustain significant risks by misunderstanding, forgetting, or ignoring advice. While no single intervention strategy improve the all patients, decades research studies agree that successful attempts patient set key factors. These include realistic assessment knowledge understanding regimen, clear effective communication between professionals their nurturance trust in therapeutic relationship. Patients must given opportunity tell story unique illness experiences. Knowing person allows professional understand elements are crucial patient's adherence: beliefs, attitudes, subjective norms, cultural context, social supports, emotional challenges, particularly depression. Physician–patient partnerships essential when choosing amongst various options maximize adherence. Mutual collaboration fosters greater satisfaction, reduces nonadherence, improves outcomes.