Organizational Interventions

Organizational strategies emphasize changing clinic and regimen characteristics as a means of promoting adherence such as reducing barriers that limit the interaction between the patient and the health care system (84). The following aspects of an adolescent-doctor consultation may engender effective communication (74): Offer patients the choice of who is present during the consultation and create a sense of equity by using accessible language, with attention being paid to the adolescent as an individual rather than exclusively focusing on the condition. Additional techniques to improve patient-doctor communication are encouraging patients to write down their concerns before each visit, and addressing each concern specifically, yet briefly (86). Continuity of follow-up by organizing contacts with the same health care provider will also increase the likelihood of adherence (69,74).

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