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[Refusal of treatment].
A Bueno Heredia1, J A Córdoba Doña, A Escolar Pujolar
1Salud Mental de Distrito de Jeréz de la Frontera (Cádiz).
Actas Espanolas De Psiquiatria
|May 3, 2001
Summary
High rates of patient non-compliance and treatment dropout lead to wasted resources and poor outcomes. This review examines factors and strategies to improve patient adherence in mental health care.
Area of Science:
- Psychiatry and Mental Health
- Health Services Research
Context:
- Significant patient dropout (25-50%) impacts outpatient care, leading to resource waste and treatment failure.
- This issue results in professional dissatisfaction and the 'revolving door' phenomenon in mental health services.
Purpose:
- To systematically review literature published between 1992-1998 on variables associated with non-compliance and dropout.
- To identify and analyze strategies proposed for addressing patient non-compliance and treatment discontinuation.
Summary:
- A Medline database search (1992-1997) identified 144 references using keywords related to dropout, non-compliance, and mental health.
- The review included 24 original articles, 5 review articles, and 1 letter to the editor from 27 journals and 6 nationalities.
Impact:
- Findings aim to inform clinical practice and policy to reduce patient dropout rates.
- Improved understanding of non-compliance factors and effective strategies can enhance treatment outcomes and optimize resource allocation in mental healthcare.