Compose a focused paper that explains and describes your healthcare issue/topic from the scientific and mathematical/analytical perspectives of inquiry. (You will cover two perspectives in one paper.)
Address your general topic by forming and answering two levels of research questions for each inquiry.
Choose a “Level 1 Research Question/Writing Prompt” from both of the lists below to answer in the paper.
Compose a “Level 2 Research Question/Writing Prompt” for each kind of inquiry that provides detail, specificity, and focus to your inquiry, research, and writing.
State your research questions in the introduction of your paper.
Answer each research question and support your assertions with evidence (research) to form the body of your paper.
In the conclusion of the paper, briefly review the issues, research questions, answers, and insights
Level 1 Research Questions/Writing Prompts
SCIENTIFIC Perspective of Inquiry
What are the anatomical, physiological, pathological, or epidemiological issues?
Which body systems are affected?
What happens at the cellular or genetic level?
Which chemical or biological issues are most important?
Level 1 Research Questions/Writing Prompts
MATHEMATICAL/ANALYTICAL Perspective of Inquiry
What are the economic issues involved?
Which economic theories or approaches best explain the issue?
What are the statistical facts related to the issue?
Which statistical processes used to study the issue provide for the best explanation or understanding?
Improving Patient Adherence to Chronic Disease Management Plans Introductory Promotive adherence to prescribed chronic illness treatment regimes is a critical problem in healthcare that has enormous ramifications for patient well-being and costs within the healthcare system. Cardiovascular disease, diabetes, and cancer are chronic diseases by nature, and they are known to call for multiple therapy sessions and years of compliance, the latter of which is difficult to achieve for a vast number of patients. Lack of compliance deteriorates the intensity of symptoms, the likelihood of adverse outcomes, and health care services costs. Hence, to address this issue and contain the disease burden associated with chronic diseases, there is a need to establish the determinate of adherence and identify methods to enhance it to bring the positive impacts of adherence on patient outcomes without compromise. The following three articles contain essential information and analysis of the existing impediments to adherence and the possibilities of overcoming them in the scientific setting. Bullard, T., Ji, M., An, R., Trinh, L., Mackenzie, M., & Mullen, S. P. (2019). A systematic review and meta-analysis of adherence to physical activity interventions among three chronic conditions: cancer, cardiovascular disease, and diabetes. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6877-z Bullard et al. (2019) identified quantitative randomized or controlled trials reporting on the physical activity intervention engagement by patients with cancer, cardiovascular disease, or diabetes for their systematic review and meta-analysis. The authors identified an average compliance rate of 77% in all the included studies, with no differences across the three chronic diseases (Bullard et al., 2019). The information within this source is accurate and reliable because the article is a systematic review and meta-analysis in a well-recognized, peer-reviewed journal. The article is helpful in an attempt to tackle the issue of patient compliance because it offers literature review data regarding the levels of adherence to patient adherence interventions and explains why individualized approaches are necessary depending on the type of chronic disease. Collado-Mateo, D., Lavín-Pérez, A. M., Peñacoba, C., Del Coso, J., Leyton-Román, M., Luque-Casado, A., Gasque, P., Fernández-del-Olmo, M. Á., & Amado-Alonso, D. (2021). Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. International Journal of Environmental Research and Public Health, 18(4). https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC7922504/ Collado-Mateo et al. (2021) performed an umbrella review of cross-sectional studies to identify critical determinant factors to the adherence to physical exercise in patients with chronic diseases and older adults. The authors listed fourteen core points of staff involvement features of exercise programs, multi-disciplinary professionals, and knowledge enhancement of patients regarding the exercise program (Collado-Mateo et al., 2021). This source is reliable since it is an umbrella review that systematically compiled and summarised other reviews in the subject area published in a scholarly journal. The article helps establish the effectiveness of adherence as it establishes the multifactorial nature of the issue associated with adherence to physical exercise and has potential implications for developing intervention approaches Fernandez-Lazaro, C. I., García-González, J. M., Adams, D. P., Fernandez-Lazaro, D., Mielgo-Ayuso, J., Caballero-Garcia, A., Moreno Racionero, F., Córdova, A., & MironCanelo, J. A. (2019). Adherence to treatment and related factors among patients with chronic conditions in primary care: A cross-sectional study. BMC Family Practice, 20(1), 1–12. https://doi.org/10.1186/s12875-019-1019-3 Fernandez-Lazaro et al. (2019) used a cross-sectional research design to examine treatment adherence and associated factors among patients with chronic illnesses in primary care. In their study, the authors identified older age, fewer fillings at other pharmacies, a complete understanding of the treatment plan, sufficient knowledge of the medication schedule, and perception of high quality of life as factors that significantly affected adherence (FernandezLazaro et al., 2019). This source is authoritative as it is a peer-reviewed cross-sectional study from a reliable scientific journal. The article will prove helpful in solving the patient adherence issue as it points out factors that can be addressed in interventions to enhance adherence among patients with chronic illnesses in primary care. Conclusion The three articles can help understand the parameters and reasons for patients’ compliance with recommended chronic disease management plans and the possibilities for enhancing this process. Bullard et al. (2019) also note the need for specific recommendations depending on a particular chronic condition. Collado-Mateo et al. (2021) stress the multifaceted nature of adherence and the necessity to address multiple aspects of client’s lives. According to Fernandez-Lazaro et al. (2019), certain aspects can be addressed in primary care to increase adherence. These articles can offer a comprehensive underpinning of the key frameworks for creating evidenced-based interventions to increase patient compliance, health gains, and reduced care costs.
References
Bullard, T., Ji, M., An, R., Trinh, L., Mackenzie, M., & Mullen, S. P. (2019). A systematic review and meta-analysis of adherence to physical activity interventions among three chronic conditions: cancer, cardiovascular disease, and diabetes. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6877-z Collado-Mateo, D., Lavín-Pérez, A. M., Peñacoba, C., Del Coso, J., Leyton-Román, M., LuqueCasado, A., Gasque, P., Fernández-del-Olmo, M. Á., & Amado-Alonso, D. (2021). Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. International Journal of Environmental Research and Public Health, 18(4). https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC7922504/ Fernandez-Lazaro, C. I., García-González, J. M., Adams, D. P., Fernandez-Lazaro, D., MielgoAyuso, J., Caballero-Garcia, A., Moreno Racionero, F., Córdova, A., & Miron-Canelo, J. A. (2019). Adherence to treatment and related factors among patients with chronic conditions in primary care: A cross-sectional study. BMC Family Practice, 20(1), 1–12. https://doi.org/10.1186/s12875-019-1019-3
