Cheatography
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Factors Affecting Medication Adherence
This is a draft cheat sheet. It is a work in progress and is not finished yet.
1. Social & Economic Dimension Limited English language proficiency
Low health literacy
Lack of family or social support network
Unstable living conditions; homelessness
Burdensome schedule
Limited access to health care facilities
Lack of health care insurance Inability or difficulty accessing pharmacy Medication cost
Cultural and lay beliefs about illness and treatment
Elder abuse |
2. Healthcare System Dimension Provider-patient relationship
Provider communication skills (contributing to lack of patient knowledge or understanding of the treatment regimen)
Disparity between the health beliefs of the health care provider and those of the patient
Lack of positive reinforcement from the health care provider
Weak capacity of the system to educate patients and provide follow-up
Lack of knowledge on adherence and of effective interventions for improving it Patient information materials written at too high literacy level
Restricted formularies; changing medications covered on formularies
High drug costs, copayments, or both
Poor access or missed appointments
Long wait times
Lack of continuity of care |
3. Condition-Related Diemsnion Chronic conditions
Lack of symptoms
Severity of symptoms
Depression
Psychotic disorders
Mental retardation/developmental disability |
4. Theraphy-Related Dimension Complexity of medication regimen (number of daily doses; number of concurrent medications)
Treatment requires mastery of certain techniques (injections, inhalers)
Duration of therapy
Frequent changes in medication regimen
Lack of immediate benefit of therapy
Medications with social stigma attached to use
Actual or perceived unpleasant side effects
Treatment interferes with lifestyle or requires significant behavioral changes |
| | Medication Non-Adherance Factors
5. Patient-Related DimensionPhysical Factors
Visual impairment
Hearing impairment
Cognitive impairment
Impaired mobility or dexterity
Swallowing problems
Psychological/Behavioral Factors
Knowledge about disease
Perceived risk/susceptibility to disease
Understanding reason medication is needed
Expectations or attitudes toward treatment
Perceived benefit of treatment
Confidence in ability to follow treatment regimen
Motivation
Fear of possible adverse effects
Fear of dependence
Feeling stigmatized by the disease
Frustration with health care providers
Psychosocial stress, anxiety, anger
Alcohol or substance abuse |
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