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[We have to stop talking about "non compliant" patients but rather about patients with difficulties of medication
B Allenet1, A Lehmann1, M Baudrant1
1Pôle pharmacie, UF pharmacie clinique, unité transversale d'éducation du patient de l'Arc Alpin, CHU de Grenoble, université Grenoble-Alpes, ThEMAS TIMC-IMAG (UMR CNRS 5525), CS 10217, 38043 Grenoble Cedex 9, France.
Abstract:
Medication adherence can be defined as the link between "what the patient implements" and "what the patient and his doctor have decided together after negotiating without constrains". This definition should be put into perspective with the chronology of the disease and the way the patient experiences it. Counselling actions should always be adapted to the situation and negotiated with the patient, all along the process of care. This article proposes a model for this process and offers options pour tailored counselling. Key elements for pharmacist's practice are: simplify the prescription; communicate with the patient according to his stage of acceptation of the disease; get adequate training for motivational interviewing.