How do you improve compliance?

Sheldon Winnick, David O. Lucas, Adam L. Hartman, David Toll

Research output: Contribution to journalArticle


Compliance, or adherence, as it relates to health care is the extent to which a person's behavior coincides with medical or health advice. Medication compliance is critical for all aspects of pediatrics, specifically in successful treatment, disease prevention, and health promotion. Compliance depends on the patient's and physician's committing to the same objectives. It is unfortunate that numerous studies and physician accounts reveal difficulties in achieving compliance with pediatric medication therapy. Medication compliance in pediatric patients ranges from 11% to 93%. At least one third of all patients fail to complete relatively short-term treatment regimens. Poor compliance places children at risk for problems such as continued disease, complicates the physician-patient relationship, and prevents accurate assessment of the quality of care provided. This article presents the issue in the context of its incidence of and barriers to compliance and provides general principles to improve compliance in pediatrics by improving communication and characteristics of the practice setting. A one-on-one relationship between physician and patient is needed for communication and improved compliance.

Original languageEnglish (US)
Issue number6
StatePublished - Jun 2005


  • Adherence
  • Compliance
  • Cost
  • Dose
  • Duration
  • Education
  • Medication
  • Palatability
  • Physician-patient
  • Practice
  • Prescription

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Winnick, S., Lucas, D. O., Hartman, A. L., & Toll, D. (2005). How do you improve compliance? Pediatrics, 115(6).