Analysis of treatment adherence in chronic disease patients
https://doi.org/10.25700/NJG.2018.03.11
Abstract
The article reviews the problem of treatment non-adherence in patients suffering from various chronic diseases, including primary glaucoma. Non-compliance with the drug regimen inevitably leads to the progression of the disease and serious complications up to a lethal outcome (in case of glaucoma — to blindness), reduces patients’ quality of life. The article reveals a high degree of non-compliance in patients with different somatic pathologies and how doctors tend to underrate this problem.
The increase in life expectancy and the gradual aging of the population lead to an increase in the number of chronic diseases. This aggravates the problem of non-adherence to treatment due to the increase in the number of prescribed drugs, their side effects, cost, as well as cognitive impairment associated with age changes.
The article analyzes terminology specifics used in the domestic and foreign literature. The reasons for the low level of adherence, as well as possible ways to improve it, including using modern technologies, are recounted in detail. It also notes the importance of the joint work of the doctor and the patient aimed at the treatment quality improvement.
About the Author
S. Yu. Kazanova
Yaroslavl State Medical University; Clinical Hospital No. 1.
Russian Federation
Russian Federation
M.D., Postgraduate of the Ophthalmology Department; Head of the Glaucoma Department.
5 Revolucionnaya str., Yaroslavl, Russian Federation, 150000.
52 October Prospect, Yaroslavl, Russian Federation, 150040.
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For citations:
Kazanova S.Yu. Analysis of treatment adherence in chronic disease patients. National Journal glaucoma. 2018;17(3):97-110. (In Russ.) https://doi.org/10.25700/NJG.2018.03.11
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