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2021•Journal of Prescribing PracticeRequires access

Obedience to collaboration: compliance, adherence and concordance

Bernadette Rae

Open publisher page 11 citations

Abstract

A literature review was conducted to ascertain the historical and current use of the terms ‘compliance,’ ‘adherence’ and ‘concordance’ in relation to prescribing. Although there is agreement that compliance is not appropriate in the context of patient behaviour, it is still used. The implications for clinician-patient relationship and engagement are considered. The competencies that guide prescribing practitioners in the United Kingdom embrace concepts of adherence and concordance but do not mention ‘compliance’. Caution is given against changing vocabulary only.

About this research paper

What this paper is about

A literature review was conducted to ascertain the historical and current use of the terms ‘compliance,’ ‘adherence’ and ‘concordance’ in relation to prescribing. Although there is agreement that compliance is not appropriate in the context of patient behaviour, it is still used. The implications for clinician-patient relationship and engagement are considered. The competencies that guide prescribing practitioners in the United Kingdom embrace concepts of adherence and concordance but do not mention ‘compliance’. Caution is given against changing vocabulary only.

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OpenAlex reports 11 citations for this work. Citation counts describe recorded attention and do not establish research quality.

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Available abstract

A literature review was conducted to ascertain the historical and current use of the terms ‘compliance,’ ‘adherence’ and ‘concordance’ in relation to prescribing. Although there is agreement that compliance is not appropriate in the context of patient behaviour, it is still used. The implications for clinician-patient relationship and engagement are considered. The competencies that guide prescribing practitioners in the United Kingdom embrace concepts of adherence and concordance but do not mention ‘compliance’. Caution is given against changing vocabulary only.

Key concepts: Concordance, Compliance (psychology), Obedience, Context (archaeology), Patient compliance, Vocabulary, Medicine, Psychology

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