Taking medicines: concordance is not compliance

Optimizing medicines management: From compliance to concordance

Medication prescribed but not consumed represents a huge loss in drug and prescribing costs and an enormous waste of expensive medical time. In this article we discuss what is known about compliance and adherence, explore the concept of concordance and demonstrate its fundamental difference from both. Not all patients are ready or suitable for shared decision making in management of their condi...

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, 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...

A review of the factors associated with patient compliance and the taking of prescribed medicines.

Patient non-compliance is an ever present and complex issue, the importance of which is likely to increase in successive years as the population ages. Non-compliant behaviour is not only costly in terms of time, money and resources, but can also be detrimental to the doctor-patient relationship. Assessment of the prevalence and nature of non-compliance is difficult, but several determinant fact...