Main description:

Improve your patient's health through a fresh view of their behaviors

Patients who use over-the-counter (OTC) and prescription medicine often do not take the drugs as intended, sometimes to the detriment to their health and well-being. These widespread problems cause health professionals to agonize over how to try to make sure patients comply with medication instructions. Patient Compliance with Medication: Issues and Opportunities tackles this tough issue by exploring in detail the range of noncompliance behavior, the negative impacts the behavior has on patients as well as society at large, and practical ways to influence people to take their medicine for optimum health. Respected pharmacist and author Jack Fincham and other noted experts provide insights, surprising data, and effective solutions to a challenge nearly all health professionals encounter.

Patients often use drugs they get from a multitude of sources, making the capability of monitoring drug use difficult. Other problems can also interfere with a patient's health, such as a patient borrowing drugs from family or friendsor even not taking them at all simply because he or she are unable to pay for them. Patient Compliance with Medication: Issues and Opportunities goes beyond the standard pat explanations and mostly ineffective quick solutions usually offered for the complicated noncompliance issue. Leading authorities describe the range of reasons for a patient's behavior and provide practical strategies that strike at the root of the problem. Helpful tables, figures, and extensive references are also included.

Topics in Patient Compliance with Medication: Issues and Opportunities include:

the prevalence of noncompliance

costs of noncompliance

drug therapies that lead to noncompliance

measuring compliance

models to evaluate patient compliance

evaluation methods

ethical considerations

health professionals' roles in compliance

disease state management

future considerations

much more

Patient Compliance with Medication: Issues and Opportunities is insightful, crucial information for health professionals, educators, and students.

Contents:

About the Author
Contributors
Chapter 1. Introduction
Chapter 2. Scope of Noncompliance and Other Issues
Drugs, Pharmacists, and Insurance
Self-Care
Self-Medication
Patient Compliance Issues
Noncompliance As an Alternative
The Consequences of Noncompliance
Factors Affecting Compliance
Dosing
Devices to Aid Patient Compliance
Communication
Manufacturers
Summary
Chapter 3. Drug Therapies Leading to Noncompliant Activity (Jayashri Sankaranarayanan)
Introduction
Medication Adherence or Compliance: Definitions, Estimates, Measurement, and Interventions
Theoretical Aspects
Structure and Demand of Drug Therapies
Medical-Condition-Related Factors
Medication-Therapy-Related Factors
Patient-Related Factors
Health Professional Attributes and Health System Factors
Conclusions and Future Directions
Chapter 4. The Costs of Noncompliance
Introduction
Asthma
Cardiovascular and Cerebrovascular Disease
Diabetes
Infectious Disease
Seizures
The Elderly
Antipsychotic Therapy
Transplantation Pharmacotherapy
Chapter 5. Definitions and Measurement of Compliance
Definitions of Compliance
Noncompliance: Negative Connotations
Measurement of Compliance
Methods to Detect Compliance
Physicians' Estimates of Their Patients' Compliance
Can Physicians Be Noncompliant?
Chapter 6. Models to Evaluate Patient Compliance (Christopher Cook)
Health Belief Model
Theory of Reasoned Action
Theory of Planned Behavior
Social Cognitive Theory
Transtheoretical Model
Other Models
Conclusions
Chapter 7. Methods to Impact Patient Compliance
Types of Impacts on Compliance
Specific Ways to Improve Compliance
Getting into the Habit of Complying
Other Considerations
Summary
Chapter 8. Bridging the Gap Between Provider and Patient Variables: Concordance
The Concordance Movement in Concept and Action
Concordance
Chapter 9. Ethics of Compliance
Capital Punishment and Assisted Suicide
Noncompliance As a Patient Prerogative
Health Insurance Portability and Accountability (HIPPA) Act and Impacts Upon Compliance
Information Technology
Questionable, If Not, Unethical Practices
Pharmaceutical Company Research and Clinical Trials
Chapter 10. The Role of Health Professionals in Influencing Patient Compliance (Richard Schulz)
Recognize Limitations and Biases
Make Sense of the Vast and Contradictory Literature
Commitment to the Development of Best Practices Regarding Medication Adherence
Recent Trends in Compliance Research
Summary
Chapter 11. Disease State Management in Older Persons with Hyperlipidemia (Louis Roller and Jenny Gowan)
Lipid-Lowering Agents
Adherence to Lipid-Lowering Therapy
Scenario
Identification of Drug Therapy Problems
Possible Changes in Therapy and Benefits/Problems
Possible Changes in Therapy
Chapter 12. Current and Future Considerations
Achieving Perfection?
Complicated Considerations
Physician and Drug Effects
Questions (Important Factors) to Consider
Future Considerations with Emerging Drug Therapies
Where Do We Go From Here?
Index
Reference Notes Included