Abstract：
UNASSIGNED: Medication non-adherence is a major contributor to suboptimal disease treatment across medical specialties and is a particular hurdle with topicals. While adherence is a patient behavior affected by many socioeconomic and health system factors, physicians can play an important role in encouraging good adherence.
UNASSIGNED: We discuss methods for measuring adherence, including ethics of such research, provide select examples of dermatology-specific adherence studies, and conclude with physician-focused practices to improve patients\' adherence. Articles were selected from a PubMed search spanning 2003 to 10 December 2023, using the following terms: \'dermatology,\' \'medication,\' \'treatment,\' \'adherence,\' \'compliance,\' and \'intervention.\'
UNASSIGNED: Poor adherence to treatment is a major cause of poor treatment outcomes. As the goal of medical care is to achieve successful treatment outcomes, encouraging good adherence may be as much a foundation of care as making the right diagnosis and prescribing the right treatment. Taking a doctor-centric perspective on reasons for non-adherence may be more productive than simply finding fault with the patient. Establishing trust and accountability is a foundation for good adherence; after establishing the provider-patient relationship, physicians can improve adherence by incorporating behavioral and counseling strategies, communicating through technology, and advocating for distribution of validated educational information.
UNASSIGNED: We discuss methods for measuring adherence, including ethics of such research, provide select examples of dermatology-specific adherence studies, and conclude with physician-focused practices to improve patients\' adherence. Articles were selected from a PubMed search spanning 2003 to 10 December 2023, using the following terms: \'dermatology,\' \'medication,\' \'treatment,\' \'adherence,\' \'compliance,\' and \'intervention.\'
UNASSIGNED: Poor adherence to treatment is a major cause of poor treatment outcomes. As the goal of medical care is to achieve successful treatment outcomes, encouraging good adherence may be as much a foundation of care as making the right diagnosis and prescribing the right treatment. Taking a doctor-centric perspective on reasons for non-adherence may be more productive than simply finding fault with the patient. Establishing trust and accountability is a foundation for good adherence; after establishing the provider-patient relationship, physicians can improve adherence by incorporating behavioral and counseling strategies, communicating through technology, and advocating for distribution of validated educational information.
摘要：
■药物不依从性是导致整个医学专业疾病治疗欠佳的主要原因，并且是局部用药的特殊障碍。虽然依从性是受许多社会经济和卫生系统因素影响的患者行为，医生可以在鼓励良好的依从性方面发挥重要作用。
■我们讨论了测量依从性的方法，包括这种研究的伦理，提供针对皮肤病学的依从性研究的精选示例，最后以医生为中心的实践来提高患者的依从性。文章是从2003年至2023年12月10日的PubMed搜索中选择的，使用以下术语：“皮肤病学，\'\'药物,\'\'治疗,\'\'坚持,\'\'符合性,\'和\'干预。
■治疗依从性差是导致治疗效果不佳的主要原因。由于医疗保健的目标是实现成功的治疗结果，鼓励良好的依从性可能与做出正确的诊断和开出正确的治疗一样，是护理的基础。以医生为中心的观点看待不坚持的原因可能比简单地发现病人的毛病更有成效。建立信任和问责制是良好坚持的基础；在建立提供者与患者的关系之后，医生可以通过纳入行为和咨询策略来提高依从性，通过技术交流，并倡导分发经过验证的教育信息。
■我们讨论了测量依从性的方法，包括这种研究的伦理，提供针对皮肤病学的依从性研究的精选示例，最后以医生为中心的实践来提高患者的依从性。文章是从2003年至2023年12月10日的PubMed搜索中选择的，使用以下术语：“皮肤病学，\'\'药物,\'\'治疗,\'\'坚持,\'\'符合性,\'和\'干预。
■治疗依从性差是导致治疗效果不佳的主要原因。由于医疗保健的目标是实现成功的治疗结果，鼓励良好的依从性可能与做出正确的诊断和开出正确的治疗一样，是护理的基础。以医生为中心的观点看待不坚持的原因可能比简单地发现病人的毛病更有成效。建立信任和问责制是良好坚持的基础；在建立提供者与患者的关系之后，医生可以通过纳入行为和咨询策略来提高依从性，通过技术交流，并倡导分发经过验证的教育信息。
