An ecological perspective on medication adherence
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
ID 4396592
Author(s) Berben, Lut; Dobbels, Fabienne; Engberg, Sandra; Hill, Martha N.; De Geest, Sabina
Author(s) at UniBasel De Geest, Sabina M.
Year 2012
Title An ecological perspective on medication adherence
Journal Western journal of nursing research
Volume 34
Number 5
Pages / Article-Number 635-653
Abstract 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.
Publisher Phillips-Allen
ISSN/ISBN 0193-9459 ; 1552-8456
Full Text on edoc No
Digital Object Identifier DOI 10.1177/0193945911434518
PubMed ID
ISI-Number WOS:000305708200005
Document type (ISI) Article

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