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Medikamentöse Nicht-Adhärenz – Prädiktive Faktoren und Diagnostik

Schäfer-Keller, Petra and Garzoni, Daniela and Dickenmann, Michael and De Geest, Sabina. (2010) Medikamentöse Nicht-Adhärenz – Prädiktive Faktoren und Diagnostik. Therapeutische Umschau, Vol. 67, H. 6. pp. 283-288.

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Official URL: http://edoc.unibas.ch/dok/A6007592

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Abstract

There are many complex reasons for medication non adherence and a gold standard to assess medication non adherence does not exist. We present factors associated with medication non adherence using the five adherence dimensions suggested by the World Health Organization as well as the subjective appraisal regarding medication intake of the patient as suggested by the National Institute of Health and Clinical Excellence in the UK. Based on current research based knowledge, we suggest a two step adherence assessment for the clinical setting: 1) a routine assessment (screening) using patient self-report complemented by non adherence evidence from other methods; 2) in-depth adherence assessment for patients with positive non adherence evidence via interview. The adherence assessment turns then into adherence support. Adherence is the result of a skilled collaborative partnership between patients and health professionals. In complex cases adherence has to be regarded as an aim to be achieved in several stages.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Nephrologie > Transplantationsimmunologie und Nephrologie (Steiger)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Nephrologie > Transplantationsimmunologie und Nephrologie (Steiger)
03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:De Geest, Sabina M. and Dickenmann, Michael Jan
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Publisher:Hans Huber
ISSN:0040-5930
Note:Note: Englischer Titel: Medication non adherence - predictive factors and diagnostics -- Publication type according to Uni Basel Research Database: Journal item
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Last Modified:16 Aug 2013 07:34
Deposited On:16 Aug 2013 07:30

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