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Perspectives on concordance in leg ulcer management
1Thames Valley University. christine.moffatt@tvu.ac.uk
Journal of Wound Care
|June 25, 2004
Summary
Patient non-concordance in leg ulcer treatment often stems from the patient-practitioner relationship, not solely patient factors. Improving this relationship is key to better treatment adherence.
Area of Science:
- Vascular Medicine
- Patient Adherence Studies
Background:
- Non-concordance with medical advice is frequently attributed to patients.
- This perspective overlooks the critical role of the patient-practitioner dynamic.
Purpose of the Study:
- To explore the concept of concordance in the context of leg ulcer management.
- To shift the focus from patient blame to relational factors influencing adherence.
Main Methods:
- Literature review and conceptual analysis of patient-practitioner interactions.
- Exploration of existing research on leg ulceration and treatment adherence.
Main Results:
- Evidence suggests that the therapeutic relationship significantly impacts patient concordance.
- Non-concordance is often a complex issue rooted in communication and trust.
Conclusions:
- Re-evaluating the patient-practitioner relationship is essential for enhancing concordance in leg ulcer care.
- A collaborative approach can improve treatment outcomes and patient satisfaction.
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