Perspectives on Adherence to Recommended Health Behavior Among Low-Income Patients  

Oleh:

Gregg, Andrea C. ; DeHaven, Mark ; Meires, Jan ; Kane, Andrew ; Gullison, Gail

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Health Promotion Practice vol. 2 no. 2 (Apr. 2001), page 162-171.
Fulltext: 162HPP22.pdf (76.81KB)

Isi artikel

INTRODUCTION Changes in health care are placing more emphasis on controlling costs while improving care outcomes. Both timely access to treatment and patient adherence to care-provider recommendations reduce the likelihood of morbidity and the need for more costly services (e.g., emergency department, hospital). Adherence to health recommendations that call for permanent lifestyle changes (e.g., special diets), however, is particularly problematic for patients with chronic illnesses. Often, such patients do not follow or inconsistently follow their health care provider’s advice. Simmons (1992) estimates that nonadherence occurs in a range from 10% to an alarming high of 94%. However, the costs of nonadherence in real dollars and poor health outcomes are not borne by today’s patient alone. In a managed care environment, particularly when capitation is the payment mechanism, the provider and the delivery system bear part of the costs as well.

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