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The Health Belief Model Factors Influencing Patient Compliance.

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Presentation on theme: "The Health Belief Model Factors Influencing Patient Compliance."— Presentation transcript:

1 The Health Belief Model Factors Influencing Patient Compliance

2 Introduction Half of medical advice is not taken up. £100 million of prescribed medication is discarded every year, at least. Compliance with screening or preventative programmes is essential for their effectiveness.

3 Health Belief Model Health Motivation. Perceived vulnerability. Perceived costs and benefits. Perceived Seriousness.

4 Health Motivation The individual’s general interest in health matters, which may correlate with personality, social class, ethic group, religion etc etc.

5 Perceived Vulnerability How vulnerable or threatened a patient feels him / herself to be to a particular disease.

6 Perceived Costs and Benefits The individual’s estimation of the benefits of treatment weighed against cost, risks and inconvenience.

7 Perceived Seriousness Trigger factors such as alarming symptoms, advice from family or friends, messages from the media, disruption of work or play.

8 Health Beliefs About Illness or Symptoms Difficult to elicit. Patients frightened of looking foolish or ignorant. Patients may be reluctant to “waste a doctors time” with personal attitudes.

9 Health Beliefs About Illness or Symptoms Avoid direct questions e.g. “What do you think will happen if you don’t get your blood pressure checked?” Indirect questions helpful: “What is going through your mind?” “What does your wife / husband think?” Etc etc.

10 Checklist Elicit patient’s health beliefs. Reinforce positive attitudes to health. i.e. praise for giving up smoking for a period in the past, don’t dwell on the fact they re-started.

11 Checklist Counter myths and negative attitudes. Inform patient about causes and prognosis.

12 Checklist Plan an appropriate course of action to suit his/her needs and lifestyle. Don’t ask them to give up cigarettes, alcohol and sexual promiscuity all at once !


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