Claesson S, Morrison A, Wertheimer A I, Berger M L
Outcomes Research & Management, Merck & Co., Inc., West Point, PA 19486, USA.
Pharm World Sci. 1999 Dec;21(6):256-9. doi: 10.1023/a:1008786004974.
Compliance with prescribed drug regimens is particularly important among the elderly because of their increased vulnerability and greater burden of chronic disorders. This narrative review discusses the factors that are important to compliance, with particular reference to the elderly. These factors are the patient's perceptions of his disease and it's treatment, the physician's perceptions, the manner the physician assumes and the language he uses to communicate with the patient, the patient's living situation, regular medication review, and a continuity of health care provision. Since it is the patient who decides how to use the therapy, his or her involvement in the process of explaining and understanding it is the key to improved compliance.
由于老年人更加脆弱且慢性疾病负担更重，因此遵守规定的药物治疗方案对他们尤为重要。这篇叙述性综述讨论了对依从性很重要的因素，特别提及了老年人。这些因素包括患者对自身疾病及其治疗的认知、医生的认知、医生所采取的方式以及与患者沟通时使用的语言、患者的生活状况、定期药物复查以及医疗保健服务的连续性。由于是患者决定如何使用治疗方法，所以患者参与解释和理解治疗过程是提高依从性的关键。
