ArticleBMC health services research2019
Effective factors in non-compliance with therapeutic orders of specialists in outpatient clinics in Iran: a qualitative study.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- A conceptual framework for psychiatric nurses to facilitate medication compliance among adults living with depression.Curationis · 2024Article
- Tensions in caring for chronic patients' medication adherence: A qualitative study in Cyprus.Journal of health psychology · 2024Article
- Falling and rising in the vortex of cancer: children's adaptation with cancer: a qualitative study.BMC psychology · 2024Article
- Lived experiences of adults' non-compliance with psychiatric medication for depression.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024Article
- Attitude towards mental help-seeking, motivation, and economic resources in connection with positive, negative, and general psychopathological symptoms of schizophrenia: a pilot study of a psychoeducation program.Frontiers in psychiatry · 2024Article
- Patient compliance: A concept analysis.Belitung nursing journal · 2023Article
- Prevalence and reasons influenced medication non-adherence among diabetes patients: A mixed-method study.Journal of diabetes and metabolic disorders · 2022Article
- GRADE IT-A Literacy-Based Assessment Tool forFrontiers in sports and active living · 2022Article
- Telemedicine Services in Chronic Obstructive Pulmonary Disease: A Systematic Review of Patients' Adherence.Tanaffos · 2021Review
- Development and validation of a questionnaire to determine medical orders non-adherence: a sequential exploratory mixed-method study.BMC health services research · 2021Article
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Abstract
backgroundNon-compliance with prescribed treatment is an important cause of preventable mortality and economic burden. Recognition of the factors for non-compliance with the therapeutic orders of specialists from the perspective of patients and health care providers sheds more light on the issue for policymakers and stakeholders. The current study aimed at determining the factors for non-compliance with therapeutic orders in outpatient clinics in Kerman, Iran.
methodsThe current qualitative study was conducted using the phenomenological method and semi-structured interviews with 10 patients, five specialists, and four health care managers and treatment officials in outpatient clinics in Kerman. The interviewees were selected by purposive sampling. The codes extracted from the interviews were transcribed using conventional content analysis to identify the viewpoints. The MAXQDA 10 software was used to analyze the data.
resultsThe reasons for non-compliance with specialists' orders were categorized into five themes including patient-related (patient-centered), disease-related, therapy-related, the healthcare provider related (healthcare system), and socioeconomic factors. Themes were composed of fifteen categories and forty-one sub-categories. The dominant sub-categories extracted from interviews were health literacy and knowledge of the patient, communication and patients' trust in physicians and direct costs of treatment.
conclusionThis study identified a wide range of different individual, disease, treatment, health care provider, and socio-economic factors and the interactions between them which may result into non-compliance with therapeutic orders prescribed by specialists. Therefore, specific attention should be paid to integrate the service provision system into the collaborative approach of the patient and his/her family in order to promote the level of compliance with therapy and care in planning and policy-making to improve the health service provision system.
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