Burke L E, Dunbar-Jacob J
Graduate School of Public Health, University of Pittsburgh, Pennsylvania, USA.
J Cardiovasc Nurs. 1995 Jan;9(2):62-79. doi: 10.1097/00005082-199501000-00007.
Inadequate adherence to treatment regimens has been a concern of health care providers for more than two decades. However, it continues to have a significant impact on morbidity and health care cost. Poor adherence crosses ethnic and age groups, socioeconomic strata, acute and chronic diseases, and treatment regimens. Depending on the population, the prescribed regimen, and the definition or measure of adherence used, rates vary from 10% to 85%. The consequences of absent or partial adherence are observed in the research arena and all types of clinical settings. Educational and behavioral strategies may prevent or remediate adherence problems.
二十多年来，治疗方案依从性不足一直是医疗服务提供者关注的问题。然而，它仍然对发病率和医疗成本产生重大影响。依从性差跨越种族和年龄组、社会经济阶层、急性和慢性疾病以及治疗方案。根据人群、规定的治疗方案以及所使用的依从性定义或衡量标准，依从率从10%到85%不等。在研究领域和所有类型的临床环境中都观察到了完全不依从或部分不依从的后果。教育和行为策略可能会预防或纠正依从性问题。
