What is patient adherence? A terminology overview
- 1.1k Downloads
It is well known that patient adherence to appropriately prescribed medications is essential for treatment efficacy and positive therapeutic outcomes. It is also understood that patients who are prescribed medications do not necessarily take them as prescribed. Indeed, variation in patients' medication-taking is an age old conundrum which remains the focus of much interest amongst researchers and clinicians owing to its far-reaching consequences. Despite the extensive adherence-related research over the last four decades and a recent surge in this field, there remains a lack of uniformity in the terminology used to describe adherence and its related concepts. In turn, it is often difficult to conduct comparisons between adherence-related studies, which may be associated with the non-cumulative nature of work in this field. The purpose of this commentary is to provide an overview of key terminology relating to the field of adherence research.
KeywordsConcordance Medication adherence Patient compliance Persistence Terminology
Conflicts of interest
- 1.Adams F. Genuine works of Hippocrates. Melbourne: Krieger Publishing; 1972.Google Scholar
- 2.World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: World Health Organization; 2003.Google Scholar
- 5.Buckley P. Adherence to mental health treatment. New York: Oxford University Press; 2009.Google Scholar
- 12.Sackett DL, Haynes RB. Compliance with therapeutic regimens. Baltimore: The Johns Hopkins University Press; 1976.Google Scholar
- 16.National Heart Foundation of Australia. Improving adherence in cardiovascular care. A toolkit for health professionals. Melbourne: National Heart Foundation of Australia; 2011.Google Scholar
- 18.Ascertaining barriers for compliance (ABC) project team. ABC project. [Internet]. [Place unknown]: ABC project; c2010–2012 (2013). Available from: http://abcproject.eu/.
- 20.Nunes V, Neilson J, O’Flynn N, et al. Clinical guidelines and evidence review for medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence. London: National Collaborating Centre for Primary Care and Royal College of General Practitioners; 2009.Google Scholar
- 22.Institute of Medicine. Envisioning the national health care quality report. [Internet]. Washington D.C. (USA): Institute of Medicine; c2013 (2013). Available from: http://www.nap.edu/openbook.php?record_id=10073&page=7.