cam a22 4500 528734245 CHVBK 20200416025647.0 130215s2003 sz 00 eng d Notice issue de la migration du Réseau SAPHIR vdcdsp/05.2013 92-4-154599-2 (VAUD)991014928889702852 (RNV)006511216-41bculausa_network (RERO)006511216 R006511216 (EXLNZ-41BCULAUSA_NETWORK)991007128699702851 RERO vdcdsp sz ch-ge s1me rero Adherence to long-term therapies evidence for action [ed. by Eduardo Sabaté] Geneva WHO World Health Organization 2003 XV, 196 p. 26 cm txt rdacontent n rdamedia nc rdacarrier Ressource en ligne consultée le 23.07.2003 Bibliogr. Adherence to therapies is a primary determinant of treatment success. Poor adherence attenuates optimum clinical benefits and therefore reduces the overall effectiveness of health systems. "Medicines will not work if you do not take them” - Medicines will not be effective if patients do not follow prescribed treatment, yet in developed countries only 50% of patients who suffer from chronic diseases adhere to treatment recommendations. In developing countries, when taken together with poor access to health care, lack of appropriate diagnosis and limited access to medicines, poor adherence is threatening to render futile any effort to tackle chronic conditions, such as diabetes, depression and HIV/AIDS. This report is based on an exhaustive review of the published literature on the definitions, measurements, epidemiology, economics and interventions applied to nine chronic conditions and risk factors. These are asthma, cancer (palliative care), depression, diabetes, epilepsy, HIV/AIDS, hypertension, tobacco smoking and tuberculosis. Intended for health managers, policy-makers and clinical practitioners this report provides a concise summary of the consequences of poor adherence for health and economics. It also discusses the options available for improving adherence, and demonstrates the potential impact on desired health outcomes and health care budgets. It is hoped that this report will lead to new thinking on policy development and action on adherence to long-term therapies. <Résumé au dos du livre> Sabaté Eduardo Texte intégral http://whqlibdoc.who.int/publications/2003/9241545992.pdf BK020000 XK020000 XK020000 VAUD rnv rnv - - VAUD 700 1- Sabaté Eduardo VAUD 856 41 Texte intégral http://whqlibdoc.who.int/publications/2003/9241545992.pdf SWISSBIB 528734245