(精选)【医学英文精品课件】Drug Compliance in Patients with Hypertensive Disease教学课件.ppt

Drug Compliance and adherence:  A Public Health Perspective Timothy E. Gibbs, BA, NPMcExecutive Director, Delaware Academy of Medicine Objectives At completion of this presentation the audience will understand: The importance of drug regime compliance How adherence and compliance are similar, yet different Identifying barriers to, and negotiating adherence with patients needing medication. How non-compliance is similar to drug “abuse” An estimated 50% of all patients do not take medications properly: Right dose, Right time, Right conditions When patients are asymptomatic . . . Non-compliance rates increase dramatically to an estimated 75% percent. Providers tend to OVERESTIMATE medication compliance Compliance and Adherence Similar meanings, but different connotation: “Comply” means something like “Do what I tell you” “Adhere” means something like “Stick to the plan” The word “Compliance” defines A power dynamic between provider and patient Patient has less control Patient has greater opportunity to “fail” When patients fail to COMPLY— Blame is placed on the patient rather than the provider. Adherence is Improved if a Patient: Takes part in negotiating the treatment plan Understands the disease and treatments “Buys into” or believes in the treatment plan When patients believe in the Treatment Plan They adhere to the medication regime AND They seek out support for lifestyle changes, like DIET EXERCISE Providers Need to LISTEN to and ADDRESS patients’: Fears Lifestyle concerns Social and family issues TEACH patients about: Disease process Medication side effects