City Research Online

Non-adherence to medication and doctor-patient relationship: Evidence from a European survey

Stavropoulou, C. (2011). Non-adherence to medication and doctor-patient relationship: Evidence from a European survey. Patient Education and Counseling, 83(1), pp. 7-13. doi: 10.1016/j.pec.2010.04.039


Objective: Studies on the determinants of non-adherence to medication have put emphasis in understanding the role of the doctor-patient relationship in individuals’ decision to follow recommendations. Yet, evidence on general perceptions that individuals hold about doctors and their impact on their decision to non-adhere is lacking. This paper aims to explore the issue using data from the European Social Survey (ESS).

Methods: The ESS was conducted in 2004/2005 and included 45,700 participants from 24 countries in Europe. A Heckman probit model with sample selection was used for the analysis.

Results: The results show that perceptions about doctors constitute the model that better explains non-adherence to prescribed medication.

Conclusion and Practice Implications: Our findings confirm that general beliefs individuals have about the doctor-patient relationship impact significantly on their decision to non-adhere to prescribed medication. Key points were shown to be involvement in the decision making process, treating patients as equals and avoiding leaving unresolved issues when prescribing.

Publication Type: Article
Additional Information: NOTICE: this is the author’s version of a work that was accepted for publication in Patient Education and Counseling. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Patient Education and Counseling, Volume 83, Issue 1, April 2011, Pages 7–13,
Publisher Keywords: Doctor–patient relationship, General perceptions, Non-adherence, European Social Survey, Institutional factors
Subjects: R Medicine > RC Internal medicine
Departments: School of Health & Psychological Sciences > Healthcare Services Research & Management
Related URLs:
SWORD Depositor:
[thumbnail of Stavropoulou_ESS_revised.pdf]
PDF - Accepted Version
Download (320kB) | Preview


Add to AnyAdd to TwitterAdd to FacebookAdd to LinkedinAdd to PinterestAdd to Email


Downloads per month over past year

View more statistics

Actions (login required)

Admin Login Admin Login