compliance and non-compliance
25%
on avg about _____ of patients are non compliant
non compliance
patient's failure to follow rec of a healthcare provider for disease prevention and tx
compliance
patient's succes in following the recommendations of health care providers for disease prevention and treatment
deliberative model
-clinician acts as teacher -defines, prioritizes -"here is my rec. here is what would best suit you" -patient values play role -paradigm
paternal/maternal, controlling, subservient, complying
4 basic inherent characteristics of Pt-provider relationship 1. practitioner is ______ 2. practitioner is _____ 3. patient is ______ 4. patient is ______
3
those who are compliant are _____ x more likely to have good health outcomes compared to non-compliant
med cost, polypharmacy, complex med regimen, side effect profile
higher predictability of non compliance
interpretive model
-clinician acts as counselor -clarifies information and aligns with patient values -"is this what is important to you?" -patient's values are expressed and interpreted
informative model
-clinician acts as distributor -explains all relevant information equally -patient value plays large role -"this is what is important to me"
Paternalistic Model
-clinician acts as guardian -directs decisions with little pt autonomy -patient values plays no role
non compliance
consequences of ________ -poor clinician-patient relationships -poor pt health outcomes -toll on healthcare system
teach back method
allows patient to repeat back key concepts from teaching session to confirm understanding -start with the most important message
