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level: ADHERENCE DIMENSIONS

Questions and Answers List

level questions: ADHERENCE DIMENSIONS

QuestionAnswer
1. SOCIAL AND ECONOMIC DIMENSION give examples1 LIMITED ENGLISH PROFICIENCY 2 LOW HEALTH LITERACY 3 LACK OF FAMILY AND SOCIAL SUPPORT NETWORK 4 UNSTABLE LIVING CONDITIONS 5 burdensome schedule 6 LIMITED ACCESS to healthcare facilities 7 lack of health care insurance 8 inability/DIFFICULTY ACCESSING PHARMACY 9 MEDICATION COST 10 cultural and lay beliefs 11 elder abuse
HEALTH CARE SYSTEM DIMENSION give examples1 PROVIDER-PATIENT RELATIONSHIP 2 PROVIDER COMMUNICATION SKILLS 3 disparity between the health beliefs of the health care provider and those of the patient 4 LACK OF POSITIVE REINFORCEMENT from healthcare provider 5 WEAK CAPACITY of the system TO EDUCATE PX AND FOLLOW UP 6 LACK OF KNOWLEDGE ON ADHERENCE and of effective interventions for improving it 7 px information materials written at HIGH LITERACY LEVEL 8 restricted formularies; changing meds covered on formularies 9 HIGH DRUG COST 10 POOR ACCESS OR MISSED APPOINTMENTS 11 LONG WAIT TIMES 12 LACK OF CONTINUITY OF CARE
CONDITION-RELATED DIMENSION give examples1 chronic 2 lack of symptoms 3 severity of symptoms 4 depression 5 psychotic disorders 6 mental retardation/ developmental disability
THERAPY-RELATED DIMENSION give examples1 COMPLEX MEDICATION REGIMEN 2 TREATMENT REQUIRES MASTERY of certain techniques 3 DURATION OF THERAPY 4 FREQUENT CHANGES IN MED REGIMEN 5 LACK OF IMMEDIATE BENEFIT OF THERAPY 6 medications with SOCIAL STIGMA attached use 7 ACTUAL OR PERCEIVED UNPLEASANT SIDE EFFECTS 8 TREATMENT INTERFERES WITH LIFESTYLE or requires significant behavioral changes
PATIENT-RELATED DIMENSION give examplesPHYSICAL FACTORS - visual, hearing, cognitive, mobility impairment - swallowing problems PSYCHOLOGICAL/BEHAVIORAL FACTORS - knowledge about dx - perceived risk - understanding reason meds is needed - attitude toward treatment - confidence in ability to follow treatment regimen - motivation - fear of possible a/e - fear of dependence - feeling stigmatized by the dx - frustration w/ health care providers - stress, anxiety - alcohol or susbtance use