Do You Know the Difference Between Adherence & Compliance?
Adherence and Compliance seem interchangeable don’t they?
This is not true…
According to the World Health Organisation medication adherence is “… the extent to which a person’s behaviour– whether taking medication, following a diet, and/or executing lifestyle changes- corresponds with the agreed recommendations from a healthcare provider.”
Adherence is whether the patient takes the correct amount of medication by themselves. In adherence the patient is given control and is empowered. As a result the patient takes matters into their own hands, creating a mutually beneficial situation for the patient and prescriber.
Compliance is doing exactly what the prescriber says. Compliance can be looked at as paternalistic and condescending where the patient plays a passive role.
Medication adherence has shown enhanced treatment outcomes proving it to be beneficial in practice.
Adherence vs Compliance
Adherence– patient following best practice
Compliance- patient follows doctors instructions
Adherence- empowers a patient
Compliance- tells people what to do
What Happens If You Don’t Adhere?
Failure to adherence is a serious problem which affects both the patient and the healthcare system.
What Are the Types of Non-adherence?
There are several types of non-adherence but the majority fall under one of two categories: intentional medication non-adherence and unintentional medication non-adherence.
Unintentional non-adherence happens when the patient wants to take the medications as prescribed but are held back by barriers that are outside their control.
An example of unintentional non-adherence includes carelessness or forgetfulness where the patient forgets to take their medication or to refill their supply and therefore runs out.
Another example would be age-related conditions (dementia) which can lead to a decline in cognitive ability leading to the patient not being able to understand what the prescribed medication is for or what the benefit of taking them would be.
Intentional non-adherence occurs when the patient makes the decision to not follow medications as prescribed.
Most commonly this occurs due to a person’s beliefs, perceptions and preferences impacting their motivation to continue with the medication or even to start it.
Cultural beliefs are an example of why someone may be intentionally non-adherent- the patients may believe in more traditional forms of medication such as herbal remedies and as a result won’t take the medication which they are prescribed.
Low health literacy is a second reason why someone may be intentionally non-adherent, a patient with low health literacy may have an inability to understand the benefits of the given medication or how to even take the medication in the first place.
In many cases embarrassed of their inability to understand means, they don’t ask for assistance.
So What Can Be Done to Combat Non-adherence?
Councils are using YOURmeds to alleviate pressures from non-adherence.
YOURmeds has been proven to boost adherence to 84.7% from the national average of 50%. (How YOURmeds performed In lockdown research paper)
On average West Lothian Council saved £3,376 per patient with a return on investment of 9 times YOURmeds In West Lothian Council Success Story.
Leeds City Council saved 1,656 visits that would have been used to support medication were redeployed elsewhere creating capacity in the system. (Leeds City Council YOURmeds Pilot Study)
How Does YOURmeds Increase Adherence?
YOURmeds use the perfect balance of adherence and compliance.
YOURmeds smart medication management system allows councils to put person-centred care at the core of their service.
Our simple to use medication system puts the user back in charge of their medication with a support network of family and friends of their choosing.
In Manchester, we are using YOURmeds to support users with Parkinson’s that can require up to 8 medication rounds a day. YOURmeds use of a wider network of supporters to prompt the user to take medication reduces the carer burden on the primary carer.
For more on YOURmeds get in touch