An Ecological Perspective on Medication Adherence
An Ecological Perspective on Medication Adherence
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DOI：
10.1177/0193945911434518
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发表时间：
2012-08-01
影响因子：
1.8
通讯作者：
De Geest, Sabina
中科院分区：
文献类型：
--
作者：
Berben, Lut;Dobbels, Fabienne;De Geest, Sabina
对处方药物治疗方案的依从性不仅受个体患者的特征影响，而且受患者环境内的因素或所谓的系统级因素影响。然而，到目前为止，医疗保健系统的因素在解释药物不依从性方面受到的关注相对较少。生态模型可以作为一个框架，以帮助解释医疗保健系统因素对患者行为的影响（例如，坚持）。在生态模型中，不同层次的因素影响患者的行为，即在患者层面，微观（提供者和社会支持），中观（卫生保健组织）和宏观（卫生政策）水平的因素。为了了解药物依从性并实施干预措施以提高药物依从性，应考虑这些不同层面的因素。本文介绍了一个生态模型妥协的最重要的因素在病人，微观，中观和宏观层面。
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.