Compliance, Adherence, Concordance

Concordance, compliance, preference or adherence

The realization that patients do not always do what their doctor recommends has led to a whole area of research looking into why this is so and how to counteract it. If we assume that the practitioner is right (an area of research in itself, of course!), then how do we get the patient to follow that advice? If you have high blood pressure, but don't take the tablets is this remiss or empowering...

Concordance , adherence and compliance in medicine taking

From compliance to concordance:

with health care instructions has come in for increasing criticism over the last 20 years. A recent, influential review of research in this area argued for a shift away from compliance to a more negotiated approach to the medical encounter, termed concordance.1 The concordance model views medical interactions as a potential opportunity for both parties to take part in decisions about treatment,...

Concordance, compliance and adherence in healthcare: closing gaps and improving outcomes.

The gap between best care and usual care is large for many important diseases. In particular, poor adherence remains a significant, inadequately addressed, cause of the care gap. About half of all patients with chronic diseases stop refilling prescriptions by one year. Several effective interventions are available and adaptations of clinical trials practices offer promise for further improvemen...

Immunisation policy: from compliance to concordance?

Immunisation has proved a highly effective public health policy. However, it has come under public suspicion at times, with large falls in pertussis immunizations in the 1980s and smaller falls in measles, mumps and rubella (MMR) vaccine uptake recently. Immunisation scares have also occurred in other countries. This discussion paper explores the concepts of herd immunity, altruism, and informe...