TY - JOUR
T1 - An Ecological Perspective on Medication Adherence
AU - Berben, Lut
AU - Dobbels, Fabienne
AU - Engberg, Sandra
AU - Hill, Martha N.
AU - de Geest, Sabina
PY - 2012/8
Y1 - 2012/8
N2 - Adherence to a prescribed medication regimen is influenced not only by characteristics of the individual patient, but also by factors within the patient's environment, or so-called system level factors. Until now, however, health care system factors have received relatively little attention in explaining medication nonadherence. Ecological models might serve as a framework to help explain the influence of health care system factors on patient behavior (e.g., adherence). In an ecological model, different levels of factors influence patients' behavior, i.e. factors at the patient-level, micro- (provider and social support), meso- (health care organization), and macro (health policy) -levels. In order to understand medication adherence and implement interventions to improve medication adherence, factors at these different levels should be taking into consideration. This paper describes an ecological model compromised of the most important factors at the patient-, micro-, meso- and macro-levels.
AB - Adherence to a prescribed medication regimen is influenced not only by characteristics of the individual patient, but also by factors within the patient's environment, or so-called system level factors. Until now, however, health care system factors have received relatively little attention in explaining medication nonadherence. Ecological models might serve as a framework to help explain the influence of health care system factors on patient behavior (e.g., adherence). In an ecological model, different levels of factors influence patients' behavior, i.e. factors at the patient-level, micro- (provider and social support), meso- (health care organization), and macro (health policy) -levels. In order to understand medication adherence and implement interventions to improve medication adherence, factors at these different levels should be taking into consideration. This paper describes an ecological model compromised of the most important factors at the patient-, micro-, meso- and macro-levels.
KW - ecological model
KW - health care system
KW - medication adherence
KW - patient compliance
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U2 - 10.1177/0193945911434518
DO - 10.1177/0193945911434518
M3 - Article
C2 - 22309989
AN - SCOPUS:84862745039
SN - 0193-9459
VL - 34
SP - 635
EP - 653
JO - Western journal of nursing research
JF - Western journal of nursing research
IS - 5
ER -