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To follow or not to follow dermatological treatment: A review of the literature
Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för biomedicin och kirurgi, Avdelningen för dermatologi och venereologi. Östergötlands Läns Landsting, Medicincentrum, Hudkliniken i Östergötland.
Department of Pharmacy, Uppsala University, Uppsala, Sweden.
Ryhov Hospital, Jönköping, Sweden.
Institute of Nursing Faculty of Health and Caring Sciences, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.ORCID-id: 0000-0002-2764-3095
Vise andre og tillknytning
2006 (engelsk)Inngår i: Acta Dermato-Venereologica, ISSN 0001-5555, E-ISSN 1651-2057, Vol. 86, nr 3, s. 193-197Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

Creams, ointments and solutions applied to the skin surface by patients as part of a daily routine might be expected to provide a more variable dosage than do standard tablets. However, adherence to treatment in dermatology has been little studied. This article reviews recent publications in the field. These are dominated by questionnaire-based studies, which tend to over-estimate adherence. Reduced adherence to dermatological treatment is noted in 34-45% of patients. It is likely that the percentage of patients who practice truly optimal treatment in their daily life is even lower considering the variable practice of self-treatment. Self-reported psychiatric morbidity contributes to poor adherence to dermatological treatment, while a well-functioning doctor-patient interaction is a major determinant of good adherence, as is patient satisfaction. In conclusion, adherence to dermatological treatment is unsatisfactory and there is a need for intervention and change in clinical routines. The therapeutic and economic benefits may be considerable. The immediate challenge is to stimulate a change in patient behaviour and improve self-treatment at home. © 2006 Acta Dermato-Venereologica.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2006. Vol. 86, nr 3, s. 193-197
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Identifikatorer
URN: urn:nbn:se:liu:diva-37707DOI: 10.2340/00015555-0073ISI: 000237986400001Lokal ID: 37765OAI: oai:DiVA.org:liu-37707DiVA, id: diva2:258556
Tilgjengelig fra: 2009-10-10 Laget: 2009-10-10 Sist oppdatert: 2017-12-13bibliografisk kontrollert

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