rational non adherence

What does rational non adherence include

-cost benefit analysis

-cost benefit analysis

-financial barriers

-patient practitioner relationship

What did brown and Busell find in 2011

Found that in the developed world, only about 50% of patients follow treatment according to instructions

What did brown and Bussells findings mean

People often don’t adhere to medical advice sometimes patients choose non adherence after thinking about it logically and rationally

Cost benefit analysis

Approach that assumes patients make a deliberate decision to either follow or not follow medical advice after weighing up the costs and benefits

Main benefitS of taking medical advice

Reduce or eliminate negative symptoms, illness, diseases or injury

What do psychologists have

Several potential costs

What are people with private medical insurance more likely to do

Adhere to medical advice because they have less financial barriers

When peopleto pay for an element of their treatment costs when they previously didnt have to pay are they more likely to opt to no adherence

Yes

What does the level of trust the patient has in their medical practitioner affect

Non adherence

What is the greatest influence on trust

The practitioners relationship style

What does a practitioner centred approach emphasise

Professional distance form the patient

What does the practitioner have in the patient-practioner relationship

All the authority and power

What does the practitioner view treatments as

Non negotiable

What does a practitioner centred approach lead to

Non adherence

What approach is more likely to overcome non adherence

Friendly person centred approach

Strength of rational non adherence

How can this theory be applied to eli patients adhere to medical advice? E.g. highlights the importance of researching to continue to develop new cheaper drugs

Weakness of non adherence

The approach is based on a questionable view of the patient

What does non rational adherence imply about the patient

That they have weighed up the costs and benefits of following medical advice in a cool and calm way before making a decision int heir best interest however often decisions are made based on the patients perceived ability to cope and are not rational

What does this weakness of non adherence not explain

Not all health related decision making