Patient compliance describes how closely a patient follows medical advice, particularly with respect to medication, but also other treatments like device use or therapy. It is important for conditions requiring ongoing treatment, replacement therapies like insulin, or controlling diseases of public health concern. Rates of compliance are assessed through various objective and subjective methods like pill counts, health outcomes, and patient interviews. Improving compliance requires addressing barriers like cost and complex regimens through subsidization, generic drugs, and education by pharmacists and other providers.

2.  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

3. Kiran Sharma, Assistant Professor
12/11/2013
3

4. Kiran Sharma, Assistant Professor
12/11/2013
4

5.  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

6. PRIMARY
NO PRESCRIPTION
SECONDARY
INTENTIONAL
 UNINTENTIONAL

Kiran Sharma, Assistant Professor
12/11/2013
6

7. Kiran Sharma, Assistant Professor
12/11/2013
7

8. 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

9. Kiran Sharma, Assistant Professor
12/11/2013
9

10. Kiran Sharma, Assistant Professor
12/11/2013
10

11. Kiran Sharma, Assistant Professor
12/11/2013
11

12. 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

13. 
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

14. 




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

15. Kiran Sharma, Assistant Professor
12/11/2013
15

16.  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

17. Kiran Sharma, Assistant Professor
12/11/2013
17