Title: An ecological perspective on medication adherence
Authors: Berben, Lut ×
Dobbels, Fabienne
Engberg, Sandra
Hill, Martha
De Geest, Sabina #
Issue Date: Aug-2012
Series Title: Western Journal of Nursing Research vol:34 issue:5 pages:635-653
Article number: 10.1177/0193945911434518
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.
ISSN: 0193-9459
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Academic Centre for Nursing and Midwifery
Interfaculty Centre for Biomedial Ethics and Law
× corresponding author
# (joint) last author

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