Clinical Challenges of Adherence
The World Health Organization (WHO) define adherence to long term therapy as “the extent to which a person’s behaviour – taking medication, following a diet, and/or executing lifestyle changes, corresponds with the agreed recommendations from a health care provider.”1
WHO places strong emphasis on the need to differentiate adherence from compliance. The main difference being that adherence requires the patient’s agreement to the recommendations, whereas compliance is the process of doing what is ordered. WHO believes that patients should be active partners with health professionals in their own care and that good communication between patient and health professional is a must for effective clinical practice.
In her presentation Kirsty discusses the prevalence of non-adherence and the challenges associated with this.
1. World Health Organization. Adherence to long-term therapies: evidence for action. Geneva: World Health Organization; 2003.
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Lead Difficult Asthma Specialist Nurse and Regional Service Lead