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Begreppen Compliance, Adherence och Concordance: en litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies.
2010 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Begreppen ”compliance, adherence och concordance” används inom många delar av omvårdnadsforskningen. Dessa begrepp används frekvent inom det njurmedicinska forskningsfältet eftersom njurmedicin är ett område med komplexa behandlingar som ställer stora krav på både vårdpersonal och patienter. Syftet med denna litteraturstudie var att beskriva vad dessa begrepp egentligen betyder och hur de används. För att uppnå dessa mål har artiklar sökts i flera databaser och därefter noga lästs igenom och analyserats metodiskt. Resultatet visar att det saknas entydiga definitioner av begreppen. Dessutom råder det en viss begreppsförvirring då man i vissa studier använder begreppen som synonymer trots att de enligt de flesta definitioner inte är det. Sammantaget gör detta att det blir svårvärderat hur man skall använda resultaten i utförda studier med dessa begrepp som mätpunkter och det leder dessutom till svårigheter i jämförelser mellan olika studier. En annan slutsats i denna litteraturstudie är att compliance anses en aning förlegat och att adherence är det man framförallt använder idag medans concordance tycks vara på frammarsch. Sammanfattningsvis kan man säga att det krävs mer forskning på området för att finna konsensus i nomenklaturen så att studier som utförs kan värderas och jämföras mot varandra.

Abstract [en]

The terms ”compliance, adherence and concordance” are used in several areas of nursing research. These terms are often used in research covering the field of nephrology since renal medicine is an area with complex treatments that demand much from both health care providers and patients. The aim of this literature review was to clarify these terms actual meaning and how they are used. To reach these goals, articles have been sought in several databases, and articles included have thereafter been read thoroughly and methodically analyzed. The results show that there is no unambiguous definition of the terms. Furthermore there are some confusion regarding how to use the terms and in some studies they are even used as synonyms even though this is wrong according to most definitions. Taken together these points makes it hard to evaluate how to use results from studies with these terms as points of measure it also leads to difficulties in comparing studies with each other. Another conclusion in this study is that compliance is considered a bit obsolete and adherence is what is generally used today while concordance is upcoming. More research is warranted to reach agreement on defining these terms to enhance comparability between studies.

Place, publisher, year, edition, pages
2010. , p. 20
Keywords [en]
Nephrology, Compliance, Adherence, Concordance
Identifiers
URN: urn:nbn:se:hig:diva-6769Archive number: SSKVK07/vt10nr34OAI: oai:DiVA.org:hig-6769DiVA, id: diva2:318850
Presentation
(English)
Uppsok

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Available from: 2010-05-12 Created: 2010-05-11 Last updated: 2010-05-12Bibliographically approved

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CiteExportLink to record
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