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

Pylak Piwko Oktawia, Nieradko Iwanicka Barbara. How patient’s adherence could be improved - a short review. Journal of Education, Health and Sport. 2017;7(8):1610-1627. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1126651 http://ojs.ukw.edu.pl/index.php/johs/article/view/5157 https://pbn.nauka.gov.pl/sedno-webapp/works/842392 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 01.08.2017. Revised: 10.08.2017. Accepted: 31.08.2017. How patient’s adherence could be improved - a short review Jak można poprawić współpracę pacjenta z lekarzem- krótki przegląd piśmiennictwa Oktawia Pylak-Piwko1, Barbara Nieradko-Iwanicka2 1Casulty Department of Oncology Centre of Ziemia Lubelska, Lublin 2Academic Department and Hygiene Institution, Medical University in Lublin 1Izba Przyjęć Centrum Onkologii Ziemi Lubelskiej, Lublin; 2Katedra i Zakład Higieny Uniwersytet Medyczny w Lublinie Abstract 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. Key words: compliance, medication, advic