Why patients do not adhere to medical advice. Health Psychology. Compliance. Adherence Concordance Degree to which the patient carries out the behaviours the physician recommends (e.g., taking medication). Extent of non-adherence problem. Difficulties with assessing it:
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Necessary but not sufficient
Used to explain
Dose, timing, side effects, things to avoid while taking medicines
Communication depends on:
Size/clarity of letters
Language and complexity of words
Literacy of audience and familiarity with medical terms
Quality/comprehensibility of pictures and picture symbols e.g. sun/moon for time of day
Poster put up on the walls of clinics in UK to prevent unnecessary use of antibiotics
Ley model of patient compliance (1989). unnecessary use of antibiotics
TESTING A THEORY - PATIENT SATISFACTION unnecessary use of antibioticsA study to examine the effects of a general practitioner's consulting style on patient satisfaction (Savage and Armstrong 1990).
3 Conformity - e.g. men acting hard in front of their mates, and therefore not complying with their doctor's requests.
4 Self-efficacy (believe they can do something about the problem) and locus of control (feel that they have some control over the illness).