Concordance describes a more equal relationship between the patient and the health care provider. Compliance describes a relationship where the patient has less power; he merely follows the orders and instructions.
What is the difference between compliance and concordance?
Both compliance and adherence focus more on patient-behaviour during medication taking, while concordance highlights the processes, which underlie medication-taking, such as an equal and effective therapeutic relationship, which supports the patient during the entire course of receiving long-term treatment[16,34,35,42,56].
What is the difference between compliance and adherence?
Adherence, used as a replacement for compliance, puts the therapeutic relationship in its proper perspective, by focusing on patient participation in deciding treatment choices, and being non-judgmental about patients’ medication-taking behaviour.
Is the move from compliance to adherence to concordance genuine progress?
Although none of these terms are ideal solutions to understanding the complex process of medication-taking behaviour of patients, the move from compliance to adherence and concordance represents genuine progress in this field, which puts the patient’s perceptions at the centre of the whole process.
Is there a third term concordance for adherence?
To overcome certain problems in the concept of adherence, a third term concordance has been used.
What is the difference between medication adherence and compliance?
Medication adherence is the "act of filling new prescriptions or refilling prescriptions on time." Medication compliance is the "act of taking medication on schedule or taking medication as prescribed."
What does compliance mean in medical terms?
Listen to pronunciation. (kum-PLY-unts) The act of following a medical regimen or schedule correctly and consistently, including taking medicines or following a diet.
What does compliance mean in pharmacology?
Medication compliance (synonym: adherence) refers to the degree or extent of conformity to the recommendations about day-to-day treatment by the provider with respect to the timing, dosage, and frequency.
What is the difference between compliance and persistence?
Two common measures of compliance are adherence (sometimes used as a synonym for compliance) and persistence. Adherence refers to the proportion of pills taken within a specific time interval and persistence refers to the continuing use (in time) of the prescribed therapy (14).
What is the meaning of patient adherence?
"Medication adherence, or taking medications correctly, is generally defined as the extent to which patients take medication as prescribed by their doctors. This involves factors such as getting prescriptions filled, remembering to take medication on time, and understanding the directions."
What is patient concordance?
It was originally defined as “an agreement reached after negotiation between a patient and a health care professional that respects the beliefs and wishes of a patient in determining whether, when and how medicines are to be taken.”[4] Etymologically, concordance comes from the Latin term concordare (literally, with ...
What is the synonym of compliance?
synonyms: complaisance, compliancy, deference, obligingness. type of: agreeability, agreeableness. a temperamental disposition to be agreeable. acting according to certain accepted standards. synonyms: abidance, conformation, conformity.
How do you assess compliance to medication?
Medication adherence can be measured by several methods, including (a) self-report questionnaires or structured interviews, (b) therapeutic drug monitoring (TDM), (c) electronic devices, and (d) pick-up/refill rates.
How do you determine patient compliance?
Methods to measure adherence Indirect methods include patient questionnaires, patient self reports, pill counts, rates of prescription refills, assessment of patient's clinical response, electronic medication monitors, measurement of physiologic markers, as well as patient diaries.
Why is Medication adherence important?
Taking your medicine as prescribed or medication adherence is important for controlling chronic conditions, treating temporary conditions, and overall long-term health and well-being. A personal connection with your health-care provider or pharmacist is an important part of medication adherence.
What does non-adherence?
Bookmark. Medication nonadherence—when patients don't take their medications as prescribed—is unfortunately fairly common, especially among patients with chronic disease.
What is non compliance to medication?
The term “non-compliant patient” generally refers to a patient who intentionally refuses to take a prescribed medication or does not follow the doctor's treatment recommendations. A non-adherent patient, on the other hand, refers to someone who unintentionally refuses treatment.
What is compliance in medical coding?
Coding compliance refers to the process of ensuring that the coding of diagnosis, procedures and data complies with all coding rules, laws and guidelines. All provider offices and health care facilities should have a compliance plan.
What is meaning of compliance in nursing?
Compliance is the process whereby the patient follows the prescribed and dispensed regimen as intended by the prescriber and dispenser.
What is the purpose of healthcare compliance?
Healthcare compliance is meant to help prevent fraud or abuse of patients. Healthcare compliance and regulations also protect patient privacy and safety and encourage healthcare professionals to provide high-quality care to all patients.
What is clinical compliance?
Clinical Compliance means being ready to work in a clinical setting.
What are the outcomes of non-adherence?
Noncompliance/non-adherence have unwanted outcomes for both the patient (unnecessary disease progression and complications, reduced functional abilities and quality of life, more physician visits than required and unneeded medication changes) and the health provider (increased use of expensive, specialized medical resources).
What is the concordance of a patient?
It implies an agreement about the therapeutic regimen that the patient will follow, made between the prescriber and patient.
What is medication compliance?
Medication compliance is the act of taking medication on schedule or taking medication as prescribed, to achieve the desired health benefit i.e. following a healthcare professional's advice. Adherence includes an indication of the tenacity that patients need to achieve in sticking to a therapeutic regimen, and also takes into consideration social and environmental influences. For example, with aging populations, older adults often find themselves with multiple chronic conditions requiring management of multiple medications. This polypharmacy phenomenon is often associated with poor adherence. Or, patients may not fully adhere on grounds of gender, ethnicity, education or beliefs.
What are the factors that cause noncompliance?
The factors underlying noncompliance are myriad: Complexity of the regimen, which can lead to mistakes in doses, taking either too much or forgetting to take any. Failure of the patient to understand the importance of adherence, with treatments perceived as ineffective or unsafe.
Why are patients involved in clear communication with prescribers?
Patients who have been involved in clear communication with prescribers concerning reasons for drug selection, goals, duration of treatment, and potential adverse effects have improved adherence to treatments, more confidence in prescribers, and greater satisfaction with health-care services.
What are the concepts of compliance, adherence and concordance?
The concepts of compliance, adherence and concordance have several potential implications for the treatment of chronic mental illnesses; implications, which are diverse and wide ranging. Very briefly, they improve our understanding of the whole process of adherence behaviour, with patients’ perceptions being the central tenet. They promote a research agenda, which focuses on, examines, and attempts to understand these patient related factors. For clinicians involved in the care of such patients, these concepts lay due emphasis on the critical elements of the process, such as sensitivity to patients’ preferences, the need for adequate communication, and, perhaps, the most crucial aspect of all, the need for developing a healthy clinician-patient relationship. Therefore, these three terms are not simply an exercise in finding the right name, but represent real progress in the long-term treatment of chronic psychiatric disorders. However, one of the lacunae in research in this area is the relative lack of studies from developing countries[43]. One can always argue that these concepts are far removed from clinical reality in resource-constrained, low-income countries of the developing world, with their huge patient loads and their overworked health-care services. However, even in these situations a start has to be made in understanding these vital aspects of medication taking, and then implementing some solutions to address the problem of non-adherence, as far as possible. Only by doing so, will we be able to improve the long-term care of those who suffer from chronic psychiatric disorders in these countries.
What is the difference between compliance and adherence in psychiatric care?
Compliance, the degree to which patients follow the clinicians’ treatment-recommendations, has adverse implications for patient autonomy and the clinician-patient relationship. Adherence, used as a replacement for compliance, puts the therapeutic relationship in its proper perspective, by focusing on patient participation in deciding treatment choices, and being non-judgmental about patients’ medication-taking behaviour. Concordance emphasizes a therapeutic relationship, which facilitates clinicians’ and patients’ views on treatment, and supports an informed choice of treatment by patients. The evolution of these terms represents genuine progress in understanding patients’ perceptions of medication-taking.
What is the definition of adherence?
Adherence has been defined as “the extent to which a person’s behaviour, taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider”. To overcome certain problems in the concept of adherence, a third term concordance has been used.
What is compliance in medicine?
Compliance, the oldest term to describe such behaviour, was intended to be a neutral alternative to earlier descriptions of patients who did not follow the clinician’s advice , such as “untrustworthy”, “uncooperative”, or as proposed by Hippocrates, patients who lie about taking treatment.
What is non compliance?
From the patient’s perspective, compliance/adherence, or non-compliance/non-adherence is often a considered decision by people making their own choices about the benefits and disadvantages of treatment, based on their own beliefs, their personal circumstances, and the information available to them.
What is adherent therapy?
Adherence, used as a replacement for compliance, puts the therapeutic relationship in its proper perspective, by focusing on patient participation in deciding treatment choices, and being non-judgmental about patients’ medication-taking behaviour.
Is non-compliance a normative or a scientific agenda?
Compliance is in accord with the “scientific/clinical agenda”, but not the “normative” one[42]. In this conceptualization, compliance is always deemed to be appropriate and non-compliance is always considered to be maladaptive. However, non-compliance may not always be harmful for the patient.
What is the difference between compliance and adherence?
Compliance is when the patient follows the instructions of the doctor. • Adherence empowers the patient thereby becoming co-equal to the doctors. Compliance is believed to be a paternalistic and condescending attitude towards medicine. • It is believed that adherence has more advantages than compliance.
What is adherence in medicine?
In adherence, the patient is empowered and takes matters into his or her own hands, thereby becoming a co-equal to the doctors. This is said to pave the way to mutual respect and caring between doctors and patients thereby creating a situation that is mutually beneficial, as well. Adherence includes acts such as therapy sessions, ...
What is the term for adhering to a medical procedure?
What is Adherence? Adherence is a term that is used commonly in medicine to refer to the act of the patient, by him or herself, adhering to the proper dosage of medicine, proper practices of hygiene, or practices of well-being.
What is compliance, adherence and concordance?
What's in a name? Compliance, adherence and concordance in chronic psychiatric disorders. About half or more of the patients with chronic psychiatric illnesses, either do not take their medications correctly, or completely stop taking them.
What is the definition of adherence?
Adherence has been defined as "the extent to which a person's behaviour, taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider". To overcome certain problems in the concept of adherence, a third term concordance has been used.
Why is compliance problematic?
Though compliance has been frequently employed to describe medication-taking behaviour, it has proved problematic because it refers to a process where the clinician decides on a suitable treatment, which the patient is expected to comply with unquestioningly.
What is adherent treatment?
Adherence refers to a process, in which the appropriate treatment is decided after a proper discussion with the patient.
What is medical adherence?
Medical adherence is exactly what it sounds like, how well a patient “adheres” to a doctor’s orders. This is an action that the patient takes regarding their medication like filling/refilling their prescription, the dosage recommendations, following the correct schedule and fulfilling the period of time that is needed for effective treatment. ...
Why is medical adherence important?
Medical Adherence is a huge concern for doctors as most patients (especially those who are on long-term treatments) do not follow through with taking prescription medications. According to the CDC, these patients either never fill the prescription (20-30% of the time) and almost 50% of patients discontinue their prescription before their treatment plan is complete. As the number of patients with chronic illnesses increases, doctors are even more concerned that the treatment recommendations may not be followed correctly or at all. There is also a direct link between medical adherence and patient costs, the direct costs increase when a patient does not follow treatment plans or prescriptions. These non-adherence patients are also risking hospitalization, emergency visits and even death, by not following doctor’s instructions and/or taking their medications. When patients do not treat their illness, it can progress into a more severe health problem and cause complications that could have been avoided by preventative medical measures.
What is the difference between medication adherence and medication compliance?
The National Stroke Association (NSA), notes that it's important to recognize the difference between medication adherence and compliance and defines the terms as follows: Medication adherence is the "act of filling new prescriptions or refilling prescriptions on time.". Medication compliance is the "act of taking medication on schedule ...
What are the issues with medication adherence?
NSA notes that poor medication adherence can lead to issues including: unnecessary disease progression and complications; reduced functional abilities and quality of life; additional medical costs and physician visits; and. unnecessary medication changes. Concerning medication compliance, the NCPA survey showed that 57% of patients missed a dose, ...
Why does compliance suffer?
Compliance may suffer if patients do not understand why they need to take a medication or if they struggle to follow prescription instructions.
Why is it important to distinguish between two concepts?
Such a distinction is important when organizations set out to improve patient adherence and/or compliance with a medication regimen. By differentiating between the two concepts, organizations can more effectively analyze their performance in each area, identify targeted changes to implement, and then measure the effectiveness of those changes.