Adherence and non-adherence to treatments: focus on pharmacy practice in Nepal

Bastakoti, Suresh, Khanal, Saval, Dahal, Bibek and Pun, Nirmala Tilija (2013) Adherence and non-adherence to treatments: focus on pharmacy practice in Nepal. Journal of Clinical and Diagnostic Research, 7 4: 754-757. doi:10.7860/JCDR/2013/4872.2905

Author Bastakoti, Suresh
Khanal, Saval
Dahal, Bibek
Pun, Nirmala Tilija
Title Adherence and non-adherence to treatments: focus on pharmacy practice in Nepal
Journal name Journal of Clinical and Diagnostic Research   Check publisher's open access policy
ISSN 0973-709X
Publication date 2013-03
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.7860/JCDR/2013/4872.2905
Open Access Status DOI
Volume 7
Issue 4
Start page 754
End page 757
Total pages 4
Place of publication Delhi, India
Publisher Premchand Shantidevi Research Foundation
Language eng
Abstract Nepal is one of the developing countries having many limitations in providing the quality health services to its population. In many countries, improvement in patients' adherence to the pharmacotherapy had been one of major outcome of quality pharmaceutical services. Till date, very less thing has been done in this area in Nepal; so it seems mandatory to improve the patient adherence to the treatment plans. Adherence to the medical therapy can be explained by the extent of the behavioral coincidence to the medication and non-medication regimen by a patient whereas compliance and concordance are two different models of patient adherence to the therapy. Compliance model suggests that patients have been brought responsible for being unable to follow 'doctor's order and concordance tempts to measure the degree of agreement between patient and his or her clinician about the nature of illness and the best possible therapy for the welfare of the patient. Non-adherence to the therapy may lead to different problems as consequences of non-adherence in four different level-individual, institutional, societal and national levels. Although some programs like, "Direct Observation Treatment, Short-course (DOTS) for tuberculosis, implementation of antiretroviral treatment schedules for HIV patients and pediatric vaccination models," are the examples of attention towards the cases of noncompliance in Nepal. It has long been faced its limitations in the forms of either untrained manpower or lack of good documentation of patients' adherence to therapy or high illiteracy rate or unaffordibility of patients to their treatment or lack of pharmaceutical care services.
Keyword Adherence
Patient-pharmacist liaison
Developing country
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Pharmacy Publications
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Created: Wed, 13 Jul 2016, 13:20:44 EST by Saval Khanal on behalf of School of Pharmacy