Monday, August 20, 2007

Concordance versus Compliance


It seems that everyone is worried about getting people to comply with their wishes - to do what they want them to do. This occurs within and outside the workplace. Parents worry that their children do not comply with rules and boundaries. Children worry that they do not comply with their peer group's ideas of normal behaviour. Laws exist in our society to ensure our compliance with rules and boundaries.... Even pharmaceutical companies worry about customers not complying with medical advice..

A recently released report stated that as many as 41% of adults do not continue to take their prescribed medications for the full course, with more men than women opting out of completing their treatments for various reasons. This is unwise because it means that we are assisting the development of "super bugs" (those that are increasingly resistant to treatments such as antibiotics), and we have unfinished boxes and bottles of prescribed (and therefore restricted) medicines lying around. This study found that insisting on compliance was not the best approach. A better approach was to aim for concordance. Concordance is based on understanding and agreement - in this case, explaining to patients what their condition was, how it would impact on their lives, and how to treat it effectively improved compliance.

How can concordance assist you to move to calm from chaos?

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