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To follow or not to follow dermatological treatment: A review of the literature
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Division of dermatology and venereology. Östergötlands Läns Landsting, Centre for Medicine, Department of Dermatology and Venerology in 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
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2006 (English)In: Acta Dermato-Venereologica, ISSN 0001-5555, E-ISSN 1651-2057, Vol. 86, no 3, 193-197 p.Article, review/survey (Refereed) 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.

Place, publisher, year, edition, pages
Taylor & Francis, 2006. Vol. 86, no 3, 193-197 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-37707DOI: 10.2340/00015555-0073ISI: 000237986400001Local ID: 37765OAI: diva2:258556
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2016-09-26Bibliographically approved

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Serup, JörgenKjellgren, Karin INiklasson, EvaAhlner, Johan
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Faculty of Health SciencesDivision of dermatology and venereologyDepartment of Dermatology and Venerology in ÖstergötlandDermatology and VenerologyDepartment of Dermatology and VenerologyDivision of Drug Research
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Acta Dermato-Venereologica
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