Adherence and Integrated Care

Last uploaded: May 13, 2019
Preferred Name

Therapeutics

Synonyms
Definitions

Several of the factors that interfere with the degree of adherence to pharmacological treatment are grouped into so-called therapeutic factors. The complexity of the treatment, its duration or the frequency with which the drug regimen is changed by the healthcare provider responsible for it, are influential factors in the degree of adherence of the patient, although we are not restricted only to them. It is equally important to know if the patient has a history of treatments that have not been effective and/or if the patient does not immediately perceive the benefits of the medications. In addition, adverse side effects are relevant in assessing the reasons for lack of adherence, among others. It would be important for a medical service to be available to patients to help them deal with these effects [1]. It has also been shown that a drug administration frequency greater than twice daily encourages poor or insufficient patient adherence [2]. Other therapeutic factors related to lack of adherence to medication are polymedication, daily medications [3], and drug interactions [4]. The appearance of packages, doses, pill sizes, and all physical characteristics of the pills are also important characteristics for good adherence to treatment [5]. [1] De Geest, S., & Sabaté, E. (2003). Adherence to long-term therapies: Evidence for action. European Journal of Cardiovascular Nursing, 2(4), 323. https://doi.org/10.1016/S1474-5151(03)00091-4 [2] Capoccia, K., Odegard, P. S., & Letassy, N. (2016). Medication Adherence With Diabetes Medication: A Systematic Review of the Literature. The Diabetes Educator, 42(1), 34–71. https://doi.org/10.1177/0145721715619038 [3] Karanasiou, G. S., Tripoliti, E. E., Papadopoulos, T. G., Kalatzis, F. G., Goletsis, Y., Naka, K. K., ... & Fotiadis, D. I. (2016). Predicting adherence of patients with HF through machine learning techniques. Healthcare technology letters, 3(3), 165-170. [4] Wuyts, J., Maesschalck, J., De Wulf, I., Foubert, K., Boussery, K., De Lepeleire, J., & Foulon, V. (2018). Studying the impact of a medication use evaluation for polymedicated older patients by the community pharmacist (SIMENON): study protocol. BMC health services research, 18(1), 623. [5] Martín Alfonso, L. (2006). Repercusiones para la salud pública de la adherencia terapéutica deficiente. Revista Cubana de Salud Pública, 32(3), 0-0.

ID

http://www.semanticweb.org/parracarlos/ontologies/2019/3/untitled-ontology-31#Therapeutics

comment

Several of the factors that interfere with the degree of adherence to pharmacological treatment are grouped into so-called therapeutic factors. The complexity of the treatment, its duration or the frequency with which the drug regimen is changed by the healthcare provider responsible for it, are influential factors in the degree of adherence of the patient, although we are not restricted only to them. It is equally important to know if the patient has a history of treatments that have not been effective and/or if the patient does not immediately perceive the benefits of the medications. In addition, adverse side effects are relevant in assessing the reasons for lack of adherence, among others. It would be important for a medical service to be available to patients to help them deal with these effects [1]. It has also been shown that a drug administration frequency greater than twice daily encourages poor or insufficient patient adherence [2]. Other therapeutic factors related to lack of adherence to medication are polymedication, daily medications [3], and drug interactions [4]. The appearance of packages, doses, pill sizes, and all physical characteristics of the pills are also important characteristics for good adherence to treatment [5]. [1] De Geest, S., & Sabaté, E. (2003). Adherence to long-term therapies: Evidence for action. European Journal of Cardiovascular Nursing, 2(4), 323. https://doi.org/10.1016/S1474-5151(03)00091-4 [2] Capoccia, K., Odegard, P. S., & Letassy, N. (2016). Medication Adherence With Diabetes Medication: A Systematic Review of the Literature. The Diabetes Educator, 42(1), 34–71. https://doi.org/10.1177/0145721715619038 [3] Karanasiou, G. S., Tripoliti, E. E., Papadopoulos, T. G., Kalatzis, F. G., Goletsis, Y., Naka, K. K., ... & Fotiadis, D. I. (2016). Predicting adherence of patients with HF through machine learning techniques. Healthcare technology letters, 3(3), 165-170. [4] Wuyts, J., Maesschalck, J., De Wulf, I., Foubert, K., Boussery, K., De Lepeleire, J., & Foulon, V. (2018). Studying the impact of a medication use evaluation for polymedicated older patients by the community pharmacist (SIMENON): study protocol. BMC health services research, 18(1), 623. [5] Martín Alfonso, L. (2006). Repercusiones para la salud pública de la adherencia terapéutica deficiente. Revista Cubana de Salud Pública, 32(3), 0-0.

prefixIRI

Therapeutics

prefLabel

Therapeutics

subClassOf

http://www.semanticweb.org/parracarlos/ontologies/2019/3/untitled-ontology-31#Influencing_factors

Delete Subject Author Type Created
No notes to display