Detecting and improving compliance. Is concordance the solution?

BACKGROUND: Despite the proven benefits of hypertension control, fewer than 50% of those treated for hypertension have their blood pressure adequately controlled. The major reason for this is poor compliance with treatment. OBJECTIVE: This article examines the extent of the problem, methods of detection and effective strategies in managing the problem of poor compliance with medical care with particular reference to hypertension. New ideas in the field are also discussed. DISCUSSION: Self-report is probably the best method of detection of poor compliance. Strategies of managing the problem are discussed.