Adherence to Long term Therapies
Medicines can only be effective if patients follow the prescribed course of treatment, yet in developed countries only half of patients with chronic diseases adhere to treatment recommendations. Combined with other factors such as limited access to health care and medicines, this issue has serious consequences for health outcomes and economics. This report reviews the published literature on definitions, measurements, epidemiology, economics and interventions relating to the following nine chronic conditions and risk factors: asthma, palliative cancer care; depression, diabetes, epilepsy, HIV/AIDS, hypertension, smoking and tuberculosis. It also discusses policy developments and options available for improving adherence to long-term therapies.
The Mental Mechanisms of Patient Adherence to Long Term Therapies
How can we accept that we ought to stop smoking, follow a diet, exercise, or take medications? The goal of this book is to describe the mechanisms of patients’ adherence to long-term therapies, whose improvement, according to the World Health Organization (WHO), would be more beneficial than any biomedical progress. For example, approximately half of the patients do not regularly follow medical prescriptions, resulting in deleterious effects on people’s health and a strong impact on health expenditure. This book describes how our beliefs, desires, and emotions intervene in our choices concerning our health, by referring to concepts developed within the framework of the philosophy of mind. In particular, it tries to explain how we can choose between an immediate pleasure and a remote reward—preserving our health and our life. We postulate that such an “intertemporal” choice can be directed by a “principle of foresight” which leads us to give priority to the future. Just like patients’ non-adherence to prescribed medications, doctors often don’t always do what they should: They are non-adherent to good practice guidelines. We propose that what was recently de-scribed as “clinical inertia” could also represent a case of myopia: From time to time doctors fail to consider the long-term interests of their patient. Both patients’ non-adherence and doctors’ clinical inertia represent major barriers to the efficiency of care. However, it is also necessary to respect patients’ autonomy. The analysis of relationship between mind and care which is provided in this book sheds new light on the nature of the therapeutic alliance between doctor and patient, solving the dilemma between the ethical principles of beneficence and autonomy.
Concepts and Measurement of Quality of Life in Health Care
Questions concerning the notion of quality of life, its definition, and its ap plications for purposes of assessment and measurement in social and medical contexts, have been widely discussed in Scandinavia during the last ten years. To a great extent this discussion mirrors the international develop ment in the area. Several methods for the assessment and measurement of quality of life have been borrowed from the UK and the US and then further developed in northern Europe. But there has also been an internal develop ment. This holds in particular for the social arena, where Scandinavia has had a special tradition both in theory and practice. In this volume an attempt is made to illustrate some aspects of the philo sophical, and in general theoretical, discussion concerning quality of life in Scandinavia. In addition, some prominent scholars from other parts of Europe, i. e. , France, the Netherlands, the UK and Italy, have been invited to contribute. The volume is divided into three sections. The first contains philosophical analyses of the general notion of quality of life and proposes a number of different explications. The second section considers various ap plications of the notion of quality of life in health care. The papers serve to disentangle some intellectual and ethical problems that stem from these ap plications. The third section is more practical and focuses on methods of measuring quality of life in medicine and health care.
The Meaning of Illness
This work provides a phenomenological account of the experience of illness and the manner in which meaning is constituted by the patient and the physician. Rather than representing a shared reality between doctor and patient, illness represents two quite distinct realities - the meaning of one being significantly and qualitatively different from the meaning of the other. Drawing upon insights derived from psychological phenomenology, the author explores this difference and provides a detailed account of the way in which illness and body are apprehended differently by doctor and patient. The author considers the implications for medical practice, particularly in terms of achieving successful communication between doctor and patient, providing a comprehensive account of illness, alleviating suffering, and devising maximally effective therapeutic interventions. Consideration is given to ways of developing a shared world of meaning through the use of clinical narrative, empathic understanding and an explicit focus on the lifeworld interpretation of illness. Awarded the firstEdwin Goodwin Ballard Prizein Phenomenology.
Tackling Chronic Disease in Europe
Chronic conditions and diseases are the leading cause of mortality and morbidity in Europe, accounting for 86% of total premature deaths, and research suggests that complex conditions such as diabetes and depression will impose an even greater health burden in the future - and not only for the rich and elderly in high-income countries, but increasingly for the poor as well as low- and middle-income countries. The epidemiologic and economic analyses in the first part of the book suggest that policy-makers should make chronic disease a priority. This book highlights the issues and focuses on the strategies and interventions that policy-makers have at their disposal to tackle this increasing challenge. Strategic discussed in the second part of this volume include (1) prevention and early detection, (2) new provider qualifications (e.g. nurse practitioners) and settings, (3) disease management programmes and (4) integrated care models. But choosing the right strategies will be difficult, particularly given the limited evidence on effectiveness and cost-effectiveness. In the third part, the book therefore outlines and discusses institutional and organizational challenges for policy-makers and managers: (1) stimulating the development of new effective pharmaceuticals and medical devices, (2) designing appropriate financial incentives, (3) improving coordination, (4) using information and communication technology, and (5) ensuring evaluation. To tackle these challenges successfully, key policy recommendations are made.
Caring For People With Chronic Conditions A Health System Perspective
This text systematically examines some of the key issues involved in the care of those with chronic diseases. It synthesises the evidence on what we know works (or does not) in different circumstances. From an international perspective, it addresses the prerequisites for effective policies and management of chronic disease.
Mental Health in South Asia Ethics Resources Programs and Legislation
Asia is by far the largest continent in the world in terms of area with population exceeding 3.5 billion and has dozens of cultures, religions, languages and ethnic groups. As a result of its highly varied political systems, Asia also spawns a wide variety of health care systems including mental health care systems, often based on historical roots and at times colonial heritages. The people who suffer from mental or neurological disorders in the continent form a vulnerable section of society and often face stigma, discrimination and marginalization in all societies, and this increases the likelihood that their human rights will be violated This book tackles the issue of mental health legislation in South Asia. The first of its kind, it addresses an issue that is necessary for protecting the rights of people with mental disorders and serves as an essential text for reinforcing mental health policy in South Asia. It is a timely addition to our global understanding of mental health and how different regions address it.
Improving Patient Treatment Adherence
Despite its direct effect on a patient’s health, the literature on treatment adherence does not yet include a summary of proven methods for identifying and addressing patient non-adherence. Improving Patient Treatment Adherence Across Multiple Behaviors: A Clinician's Guide differs significantly from many treatment adherence books on the market by focusing on clinicians and the practical tactics they need to improve patient adherence. The book is orgnaized by behavior and special issues as opposed to other texts, which look at treatment adherence as a theoretical concept. Each chapter provides a summary of existing literature regarding the impact of patient non-adherence, including costs, clinical outcomes and health-related quality of life, as well as a review of patient factors related to treatment adherence across behaviors, diseases, and special populations. A discussion of methods for improving treatment adherence takes a look at both proven methods and new technological advances in the field. Each chapter includes a table listing 3-5 key bullets that a clinician could use to address treatment adherence. Actual questions and scoring algorithms for widely used measures of treatment adherence make this book a useful guide for practicing clinicans.
I Am Not Sick I Don t Need Help
Xavier Francisco Amador A été écrit sous une forme ou une autre pendant la plus grande partie de sa vie. Vous pouvez trouver autant d'inspiration de I Am Not Sick I Don t Need Help Aussi informatif et amusant. Cliquez sur le bouton TÉLÉCHARGER ou Lire en ligne pour obtenir gratuitement le livre de titre $ gratuitement.
Hidden in the Mealie Meal
Key recommendations to the government of Zambia and Zambia National Assembly -- Methodology -- The impact of gender-based abuses on women's HIV treatment -- Zambia's response to gender-based abuses impeding women's HIV treatment -- Zambia's international legal obligations -- Response of the international community -- Conclusion -- Detailed recommendations -- Acknowledgements.