Why patients do not adhere to medical advice.

 

Topic

Study

Detail

Evaluation

Application

Extent of problem

Kent and Dalgleish (1996)

Penicillin

 

 

 

Ley 1997

Costs

 

 

Methodological problems

 

 

 

 

Why?

Francis et al 1969

Satisfaction – compliance

 

 

Model of patient compliance

Ley 1989

 

 

 

Patient satisfaction

Ley 1988

Level and reasons

 

 

Patient understanding

Boyle 1970

Defining range of illnesses

 

 

Patient recall

Bain 1977

Recalling instructions

 

 

 

Ley 1989

 

 

 

The Health Belief model

Becker & Rosenstock (1984)

 

 

 

 

Abraham et al 1992

Scottish teenagers

 

 

Naïve Health Theories

Bishop & Converse 1986

 

 

 

Rational non-adherence

Bulpitt 1988

Impotence

 

 

 

Sarafino 1994

Reasons:

1.     

2.     

3.     

4.     

5.     

 

 

Other useful concepts

 

1

2

3

4

 

 

Self-efficacy

Payne and Walker 1996

Low self esteem

 

 

 

Poradzisz (2002)

diabetes

 

 

Diabetes

 

Health requests:

1

2

3

4

5

6

 

 

 

Wing et al 1986

Non-compliance

 

 

 

 

Reasons:

1

2

3

 

 

 

Swigonski 1987

Social support

 

 

 

Bradley 1994

Patients aware of sugar levels:

1

2

3

4

 

 

 

Kutz  (2000)

Satisfaction with doctor

 

 

Old people

Kaplan et al 1993

Difficulties:

1

2

3