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To follow or not to follow dermatological treatment: a review of the literature
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmacy.
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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 in journal (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.

Place, publisher, year, edition, pages
2006. Vol. 86, no 3, 193-197 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-81975DOI: 10.2340/00015555-0073PubMedID: 16710573OAI: oai:DiVA.org:uu-81975DiVA: diva2:109890
Available from: 2006-09-06 Created: 2006-09-06 Last updated: 2013-01-31Bibliographically approved

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Kettis, ÅsaRing, Lena

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