Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
 Patient

compliance describes the degree to
which a patient correctly follows medical
advice.
 Most commonly, it refers...
Kiran Sharma, Assistant Professor

12/11/2013

3
Kiran Sharma, Assistant Professor

12/11/2013

4
 Replacement

therapy – insulin, thyroxine
 Maintenance of pharmacological effect –
antihypertensive drugs
 Maintenance...
PRIMARY
NO PRESCRIPTION

SECONDARY
INTENTIONAL
 UNINTENTIONAL


Kiran Sharma, Assistant Professor

12/11/2013

6
Kiran Sharma, Assistant Professor

12/11/2013

7
Direct objective
–measure blood or urine levels of drugs
Indirect objective
– pill count
- Prescription refill
Health outc...
Kiran Sharma, Assistant Professor

12/11/2013

9
Kiran Sharma, Assistant Professor

12/11/2013

10
Kiran Sharma, Assistant Professor

12/11/2013

11
To track the record weather the patient is following the
prescribed medications or not: for this electronic access
to pati...


In a country like India, where it has been estimated
that the per capita income of the weaker class is about
Rs. 32per ...









The role of the pharmacist has widens and it also include identifying
drug-related issues and providing pati...
Kiran Sharma, Assistant Professor

12/11/2013

15
 Patient

compliance is a complex issue leading to
huge burden on healthcare system and needs
immediate attention from pa...
Kiran Sharma, Assistant Professor

12/11/2013

17
Patient compliance
Upcoming SlideShare
Loading in …5
×

Patient compliance

20,933 views

Published on

How to improve patient compliance

Published in: Health & Medicine, Business

Patient compliance

  1. 1.  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 Kiran Sharma, Assistant Professor 12/11/2013 2
  2. 2. Kiran Sharma, Assistant Professor 12/11/2013 3
  3. 3. Kiran Sharma, Assistant Professor 12/11/2013 4
  4. 4.  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 Kiran Sharma, Assistant Professor 12/11/2013 5
  5. 5. PRIMARY NO PRESCRIPTION SECONDARY INTENTIONAL  UNINTENTIONAL  Kiran Sharma, Assistant Professor 12/11/2013 6
  6. 6. Kiran Sharma, Assistant Professor 12/11/2013 7
  7. 7. 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 Kiran Sharma, Assistant Professor 12/11/2013 8
  8. 8. Kiran Sharma, Assistant Professor 12/11/2013 9
  9. 9. Kiran Sharma, Assistant Professor 12/11/2013 10
  10. 10. Kiran Sharma, Assistant Professor 12/11/2013 11
  11. 11. 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 noncompliance.  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.  Kiran Sharma, Assistant Professor 12/11/2013 12
  12. 12.  In a country like India, where it has been estimated that the per capita income of the weaker class is about Rs. 32per person per day, we cannot expect that person or family to buy medicines which costs in hundreds or thousands. So for that reason such families or person should be subsidized for medical procedures and purchases. Also it has been estimated not only in India but also in developed countries like U.S that an increase in rate of filling prescription by 10$, a decrease in rate of non-compliance by 10 % is seen.  By the use of generic drugs which are more cost effective as that of branded drugs Kiran Sharma, Assistant Professor 12/11/2013 13
  13. 13.      The role of the pharmacist has widens and it also include identifying drug-related issues and providing patient consultations regarding drug therapy. Medication information should be provided to patients during the counseling session. This information includes, the common and severe adverse effects, drug interactions and contraindications and appropriate direction of use by the patient. The role of the pharmacists is to warn the patients of the side effects of a drug. Pharmacists are engaged in counseling the patient at the time of dispensing medications. Pharmacists can contribute to patients' safety by advising them of the risks posed by certain medications. Before counseling the pharmacist should review the patient's prescription and nonprescription drug history. The medication review must include an assessment of any increase in side effects from any individual drug or drug combinations. Patients are generally unaware of the risks of being involved in over-the-counter preparations or of the potential additive effects of the drugs Kiran Sharma, Assistant Professor 12/11/2013 14
  14. 14. Kiran Sharma, Assistant Professor 12/11/2013 15
  15. 15.  Patient compliance is a complex issue leading to huge burden on healthcare system and needs immediate attention from patient, pharmacist and physician.  Compliance aids and technologies also play important role in patient compliance. By providing a simplistic overview of methods for enhancing compliance so that the research can be translated and applied to patient care Involving healthcare providers, in addition to physicians in order to reduce the time and cost involved in implementing these strategies. Kiran Sharma, Assistant Professor 12/11/2013 16
  16. 16. Kiran Sharma, Assistant Professor 12/11/2013 17

×