patient compliance

1. ““patient compliance”patient compliance”
presented by simi joju k,1st
m-pharm

2. Contents:Contents:
Definition
Impotance
Factors
Role of pharmacist
Conclusion
References

3. Patient compliance describes the degree
to which a patient correctly follows
medical advice.
Most commonly, it refers to medication
or drug compliance, but it can also apply
to other situations such as medical device
use, self care, self-directed exercises, or
therapy sessions
PATIENT COMPLIANCEPATIENT COMPLIANCE
.. 3..

4. The ultimate aim of any prescribed
medical therapy is to achieve certain
desired outcomes in the patients
concerned. These desired outcomes are
part and parcel of the objectives in the
management of the diseases or
conditions.

5. Adherence vs. ComplianceAdherence vs. Compliance
Adherence is a more accurate term than compliance
Compliance suggests a process in which dutiful patients
passively follow the advice of their physicians
Adherence, in contrast, better fits how most patients
actively participate in their care and decide for themselves
when and whether to follow their doctor’s advice

6. 07/28/17 6Kiran Sharma, Assistant Professor

7. When is Adherence important?When is Adherence important?
Replacement therapy – insulin, thyroxine
Maintenance of pharmacological effect –
antihypertensive drugs
Maintenance of serum drug concentration
to control a particular disorder –
anticonvulsants
To control diseases of public health – HIV,
TB
In chronic diseases
Contraceptive pills
Overdose which causes serious health
hazards
07/28/17 7Kiran Sharma, Assistant Professor

8. Factor affectingFactor affecting
Patient CompliancePatient Compliance
Educational level
Psychological factors
Patients’ beliefs and motivation about the therapy
Cost of medication
Duration therapy
Poor understanding of instructions
Adverse events

9. Some Factors indirectly
associated with compliance
 Environmental factors
 Good social support, assistance of family.
 Depending on cultural norm about gender.
 Social class.
 Previous experiences of similar disease among
relatives or friends can affect one’s
compliance.

10.  Appointment keeping is
positively correlated
with appointment
scheduling system that:
 Reduce waiting time.
 Give individual rather than block
appointment.
 Minimize the time between
scheduling and the actual
appointment date.
 Make referrals to specific doctors
rather than to clinics.

11. Methods to detectMethods to detect non-adherencenon-adherence
Direct objective
–measure blood or urine levels of drugs
Indirect objective
– pill count
- Prescription refill
Health outcome measures
– BP control, asthma severity
Utilization of health care services
 clinic attendance
 Appointment making
 Appointment keeping
Indirect subjective
– patient interview & diary keeping
07/28/17 11Kiran Sharma, Assistant Professor

12. Role of Pharmacist in improvingRole of Pharmacist in improving
Patient CompliancePatient Compliance
Identification of risk
factor
Development of
treatment plan
Patient education
 oral communication
 written communication
Patient motivation

13. Compliance aids
 Labelling
 Medications calenders & drug
reminder chart.
 Compliance packaging
 Dosage forms
Monitoring
therapy
 Self monitoring
 Pharmacist monitoring

14. Compliance aidsCompliance aids
07/28/17 Kiran Sharma, Assistant Professor 14

15. Detection and Improvement ofDetection and Improvement of
ComplianceCompliance
 To track the record weather the patient is following the
prescribed medications or not: for this electronic access to
patient prescription and refill records is checked.
 By using electronic questionnaire system in which the patient
is asked about the current drug treatment and relief after
starting the treatment.
 By appointing nurse case managers which checks the patience
adherence and non-compliance at a very personal level.
 Utilizing pharmacist as a tool to resolve non-compliance.
 Long, complex and redundancy of drug regimens also lead to
non compliance so; this point should also betaken care in
mind while prescribing the medication.
07/28/17 Kiran Sharma, Assistant Professor 15

16. ConclusionConclusion
 Developing strong
patient relationships with
high levels of satisfaction is
challenging, but it is a
realistic goal.
These lessons can provide
fresh insight into our
approach with patients and
can lead to a greater
understanding of patient’s
needs and increased levels
of compliance.

17. References:References:
1) Text book of clinical pharmacy practice
Dr. h. p. tipins$Dr.amrita bajaj
pg no:28-33
2) Clinical pharmacy practice
parthasarathy
pg no:74-88

18. PROUDTO BE A PHARMACISTPROUDTO BE A PHARMACIST
 Good Luck 
….THANKYOU….