Treatment compliance in chronic illness: Current situation and future perspectives

被引:31
作者
Conthe, P. [1 ]
Marquez Contreras, E.
Aliaga Perez, A.
Barragan Garcia, B.
de Cano Martin, M. N. Fernandez [2 ]
Gonzalez Jurado, M. [3 ,4 ]
Ollero Baturone, M. [5 ]
Pinto, J. L. [6 ]
机构
[1] Hosp Gen Univ Gregorio Maranon, Secc Med Interna, Madrid, Spain
[2] Soc Espanola Med Atenc Primaria SEMERGEN, Grp Trabajo Gest Medicamento & Seguridad Paciente, Madrid, Spain
[3] Consejo Gen Enfermeria Espana, Madrid, Spain
[4] Univ Complutense Madrid, Madrid, Spain
[5] Hosp Univ Virgen del Rocio, Unidad Clin Med Interna UCAMI, Seville, Spain
[6] Univ Pablo de Olavide, Seville, Spain
来源
REVISTA CLINICA ESPANOLA | 2014年 / 214卷 / 06期
关键词
Therapeutic adherence; Chronic disease; Clinical and health-social impact; Non-compliance; THERAPEUTIC COMPLIANCE; MEDICATION ADHERENCE; DRUG-THERAPY; IMPACT; HYPERTENSION;
D O I
10.1016/j.rce.2014.03.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Long-term chronic diseases have a high mortality rate around the world, affecting both genders equally. Despite improvements in the diagnosis and treatment of various health problems, lack of treatment compliance remains an obstacle to improving health and patient quality of life, and it carries a high associated socio-healthcare cost. The objectives of this study were to develop the concept of "therapeutic adherence", which includes both pharmacological compliance as well as non-pharmacological (level of agreement and patient involvement, lifestyle changes, etc.) treatments. The study also aimed to establish the clinical and socio-health impact of non-compliance, the reasons for non-compliance, and methods and strategies to improve compliance. The results of this study support therapeutic adherence as an essential goal of the healthcare system that encompasses all stakeholders involved in patient health. (C) 2014 Elsevier Espana, S.L. All rights reserved.
引用
收藏
页码:336 / 344
页数:9
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