ISSUE IS PATIENT NON-COMPLAINCE WITH TREATMENT

Issue is Patient Non-compliance with Treatment

Issue is Patient Non-compliance with Treatment

Introduction

The issue of non-compliance with medical advice by patients is a problem reported by most health professionals. In particular, it show great difficulties in meeting the long-term treatment to be followed by patients with transplant allocation; refusal of care, such as a blood transfusion; patient dumping; and chronic conditions like diabetes, hypertension, asthma, AIDS and others. There are many causes attributed to manifestations of this problem. It could be said that all health care providers, industry professionals work related or not care, patients, families and the general population develop their own answers about the causes that influence compliance with the requirements or not medical, personal experiences based on criteria drawn from an, empirical clinical practice(Stone, 2002).

The authors who study the issue posed by the existence of a wide range of factors influencing the conduct of compliance or noncompliance of medical treatment, involving components of a psychosocial nature, medical (disease characteristics and the treatment itself) and the relationship doctor-patient. The doctor-patient relationship is patient satisfaction in the process of interaction with health professionals and the characteristics of the communication established between these, especially with your doctor (Stone, 2002). The communication allows the patient to understand the information being given on the prescription or recommendation, which is a first step so; you can accept it and remember it.

The group of factors has a doctor character is related to the characteristics of the therapeutic regimen, including stands, the complexity of treatment, which highlights the degree of behavioral change required, the change in habits or demand for new behavioral patterns, duration and type of treatment, whether curative, preventive or rehabilitative services. Adherence decreases as therapy is extended and curative and rehabilitative produce higher rates than preventive. The cost-benefit scheme Treatment may be relevant, since the costs can be diverse: economic, social, employment, family, emotional, while the benefits are directed toward the belief that the disease has been cured. With regard to the nature of the disease, highlights the role the type of disease: acute or chronic, and the presence of symptoms of pain or discomfort in the variation of compliance. It was found that acute illnesses with disturbing symptoms occur greater compliance, while asymptomatic chronic diseases and have the lowest (Mushlin, 2007).

Finally, it highlights a set of factors called psychosocial aspects, linked in the first place, the patient's beliefs associated with the perception of disease severity, to estimate their own risk of illness or perceived vulnerability on the other hand, the belief of the person to be able to execute the required response, and finally the belief that the answer will be more effective than the costs caused by the conduct. There is also the motivation of the patient's health, including his interest in health and everything connected with it, the characteristics of their cognitive processes especially memory and the types of coping used to the disease. Social and family support can help to increase the enforcement of the requirements ...