Abstract
This chapter describes adherence to health care, factors affecting adherence, theories predicting adherence, and procedures for measuring adherence. Strategies for enhancing adherence to treatment are also discussed. The problem of nonadherence to treatment regimens affects health care practitioners in every field and it is very difficult to identify it. Morbidity, clinical decisions, cost-effectiveness of health care, and clinical trials are all affected by adherence to health care. Adherence rates to health care have changed very little over the past decade or more; and despite the development of several theories and the introduction of a number of interventions, the reported statistics show little change. Adherence refers to much more active involvement in the treatment regimen relationship on the part of both the patient and physician but there is a greater emphasis on the patients' role in their decision to follow through with a particular regimen.
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