Patient Compliance: Fact or Fiction?

Patient Compliance: Fact or Fiction?


Assistant Professor, Faculty of Pharmacy, World University of Bangladesh

American Journal of Public administration

The word ‘compliance’ comes from the Latin word complire, meaning to fill up and hence to complete an action, transaction, or process and to fulfil a promise. In the Oxford English Dictionary, the relevant definition is ‘The acting in accordance with, or the yielding to a desire, request, condition, direction, etc.; a consenting to act in conformity with; an acceding to; practical assent”. Compliance with therapy is simply patients understanding of medication, motivation toward having this medication is a prescribed manner with the belief that the prescriber and prescribed medicine will be beneficial for his well-being. Although this is often the case, in a number of situations, the physician and pharmacist have not provided the patient with adequate instructions or have not presented the instructions in such a manner that the patient understands them. Nothing should be taken for granted regarding the patient’s understanding of how to use medication, and appropriate steps must be taken to provide patients with the information and counseling necessary to use their medications as effectively and as safely as possible. 20% to 30% of new prescriptions are never filled at the pharmacy. Medication is not taken as prescribed 50% of the time. For patients prescribed medications for chronic diseases, after six months, the majority take less medication than prescribed or stop the medication altogether. There are both federal and state laws that make using or sharing prescription drugs illegal. If someone take a pill that was prescribed to someone else or give that pill to another person, not only is it against the law, it’s extremely dangerous.
Abbreviations: Atrial Fibrillation (AF); Administration Timing Simplification Protocol (ATSP) Asthma Insight and Management (AIM); British Medical Journal (BMJ); Coronary Heart Disease (CHD); Cost-Related Nonadherence (CRNA); Directly Observed Treatment (DOT); Empowerment, motivation, and medical adherence (EMMA); Medical Expenditure Panel Survey (MEPS); Health care professional (HCP); Medication Overuse Headache (MOH); Monoamine Oxidase (MAO); Medication Event Monitoring System (MEMS); Short Acting Beta Agonists (SABAs); Patient package inserts (PPIs); Serious Mental Illness (SMI); Selective Serotonin Reuptake Inhibitors (SSRIs);

Keywords: Adherence; Drug Therapy, Non-compliance; Patient; Medication

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AK MOHIUDDIN. Patient Compliance: Fact or Fiction? American Journal of Public administration, 2019,1:4.


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