Adherence refers to a process, in which the appropriate person’s behaviour, taking medication , following a diet, and/or executing lifestyle changes, is decided after a proper discussion with the patient. Compliance is defined as “the extent to which the patient’s behaviour matches the prescriber’s recommendations” 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. Studies over the past few decades have emphasized the importance of patients’ perspectives in medication-taking, based on their own beliefs, their personal circumstances, the information and resources available for them.

1. compliance” vs “adherence
By:
moeen Amgary
under supervision:
A.Dr.. Ahmed Salah Aldalo

2. Contents:
Definition
Example
Conclusion
References

3. Def.
 Adherence refers to a process, in which the
appropriate person’s behaviour, taking medication ,
following a diet, and/or executing lifestyle
changes, is decided after a proper discussion with
the patient.
Compliance is defined as “the extent to which the
patient’s behaviour matches the prescriber’s
recommendations”

4. 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.
Studies over the past few decades have emphasized the
importance of patients’ perspectives in medication-taking,
based on their own beliefs, their personal circumstances,
the information and resources available for them.

5. Adherence has been used as a replacement for
compliance in an effort to place the clinician-patient
relationship in its proper perspective.
It also implies that the patient is under no compulsion
to accept a particular treatment, and is not to be held
solely responsible for the occurrence of non-
adherence.

6. To overcome certain problems in the concept of
adherence, a third term concordance has been used.
The concept of concordance has evolved from a
narrower view, emphasizing an agreement between the
clinician and the patient,
which takes into account each other’s perspective on
medication-taking,
to a broader process consisting of open discussions
with the patient regarding medication-taking
imparting information and supporting patients on
long-term medication.

7. For example, a postoperative patient may receive
instructions for strict non-weightbearing after a
Lapidus bunionectomy. The patient would be
expected to “comply” with this order for a limited
period of time.
On the other hand, a patient with diabetes at risk
for ulceration would get instructions to make
specific lifestyle changes such as the daily use of
therapeutic footwear. Adherence to this lifestyle
change requires that the patient make a conscious
daily decision to wear the prescribed shoes,
adopting a new behavior that must continue for a
lifetime.

8. Conclusion
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 real progress in this field,
which puts the patient’s perceptions at the centre
of the whole process.

9. References
https://www.podiatrytoday.com/blogged/what-
difference-between-adherence-versus-
compliance-patient-behavior
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC40
87153/
US National Library of Medicine
National Institutes of Health