Compliance, or adherence, as it relates to health care is the extent to which a person's behavior coincides with medical or health advice. Medication compliance is critical for all aspects of pediatrics, specifically in successful treatment, disease prevention, and health promotion. Compliance depends on the patient's and physician's committing to the same objectives. It is unfortunate that numerous studies and physician accounts reveal difficulties in achieving compliance with pediatric medication therapy. Medication compliance in pediatric patients ranges from 11% to 93%. At least one third of all patients fail to complete relatively short-term treatment regimens. Poor compliance places children at risk for problems such as continued disease, complicates the physician-patient relationship, and prevents accurate assessment of the quality of care provided. This article presents the issue in the context of its incidence of and barriers to compliance and provides general principles to improve compliance in pediatrics by improving communication and characteristics of the practice setting. A one-on-one relationship between physician and patient is needed for communication and improved compliance.
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Electronic Articles| June 01 2005
How Do You Improve Compliance?
Sheldon Winnick, MD;
David O. Lucas, PhD;
Adam L. Hartman, MD;
Adam L. Hartman, MD
‖Department of Pediatrics, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland
¶Department of Neurology, Johns Hopkins Hospital, Baltimore, Maryland
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Sheldon Winnick, David O. Lucas, Adam L. Hartman, David Toll; How Do You Improve Compliance?. Pediatrics June 2005; 115 (6): e718–e724. 10.1542/peds.2004-1133
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