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To follow or not to...
To follow or not to follow dermatological treatment : A review of the literature
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- Serup, Jörgen, 1946- (author)
- Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Avdelningen för dermatologi och venereologi,Hudkliniken i Östergötland
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- Kettis, Åsa (author)
- Uppsala universitet,Institutionen för farmaci,Department of Pharmacy, Uppsala University, Uppsala, Sweden
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- Maroti, Marianne (author)
- Ryhov Hospital, Jönköping, Sweden
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- Kjellgren, Karin I (author)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Institute of Nursing Faculty of Health and Caring Sciences, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden
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- Niklasson, Eva (author)
- Östergötlands Läns Landsting,Linköpings universitet,Dermatologi och venerologi,Hälsouniversitetet,Hudkliniken i Östergötland
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- Ring, Lena (author)
- Uppsala universitet,Institutionen för farmaci,Department of Pharmacy, Uppsala University, Uppsala, Sweden
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- Ahlner, Johan (author)
- Linköpings universitet,Avdelningen för läkemedelsforskning,Hälsouniversitetet
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(creator_code:org_t)
- Taylor & Francis, 2006
- 2006
- English.
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In: Acta Dermato-Venereologica. - : Taylor & Francis. - 0001-5555 .- 1651-2057. ; 86:3, s. 193-197
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Abstract
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- Creams, ointments and solutions applied to the skin surface by patients as part of a daily routine might be expected to provide a more variable dosage than do standard tablets. However, adherence to treatment in dermatology has been little studied. This article reviews recent publications in the field. These are dominated by questionnaire-based studies, which tend to over-estimate adherence. Reduced adherence to dermatological treatment is noted in 34-45% of patients. It is likely that the percentage of patients who practice truly optimal treatment in their daily life is even lower considering the variable practice of self-treatment. Self-reported psychiatric morbidity contributes to poor adherence to dermatological treatment, while a well-functioning doctor-patient interaction is a major determinant of good adherence, as is patient satisfaction. In conclusion, adherence to dermatological treatment is unsatisfactory and there is a need for intervention and change in clinical routines. The therapeutic and economic benefits may be considerable. The immediate challenge is to stimulate a change in patient behaviour and improve self-treatment at home. © 2006 Acta Dermato-Venereologica.
Keyword
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- for (subject category)
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