title: Concordance: a concept analysis.
abstract: OBJECTIVE
  To report an analysis of the concept of concordance.
  
  
  BACKGROUND
  Adherence-based medicines interventions are known to be of limited success. Concordance appears to offer an alternative approach consistent with person-centred approaches to decision-making. However, the application of the principle of concordance appears inconsistent. This article considers the extent to which any of this confusion may be a function of the different usage of the term concordance in the disciplines of nursing, general medicine, psychiatry and pharmacy.
  
  
  METHODS
  Rodger's evolutionary method of concept analysis.
  
  
  METHODS
  CINAHL, Medline, PsychINFO, Cochrane library, Psychology and Behavioural Sciences Collection were searched for publications between 2000 and 2012 with combinations of key words including concord*, adherence, compliance, medic*, psychiatr*, pharm*, nurs*.
  
  
  METHODS
  Rodgers' evolutionary analytic method was used to identify and explore the concept of concordance across healthcare disciplines. A representative sample of papers was identified from the source disciplines. Over 500 papers were identified. Exclusion criteria limited the final sample to 60 papers in total, entailing 15 per discipline. Each discipline's papers were analysed for references, antecedents, consequences, attributes and surrogates separately. The team then worked together to cross-check these interpretations.
  
  
  RESULTS
  There was minimal agreement between the disciplines suggesting each discipline practised a different conceptualization of concordance. The main point of agreement was that better research is required to articulate the scope and value of partnership working.
  
  
  CONCLUSIONS
  The results clarified a distinct and currently missing research agenda.
authors.affiliation: University of West of Scotland, Institute of Mental Health, Paisley, UK.
authors.forename: Austyn
authors.initials: A
authors.lastname: Snowden
authors.affiliation: University of West of Scotland, Institute of Mental Health, Paisley, UK.
authors.forename: Colin
authors.initials: C
authors.lastname: Martin
authors.affiliation: University of West of Scotland, Institute of Mental Health, Paisley, UK.
authors.forename: Billy
authors.initials: B
authors.lastname: Mathers
authors.affiliation: School of Health Nursing and Midwifery, University of the West of Scotland, Paisley, UK.
authors.forename: Allan
authors.initials: A
authors.lastname: Donnell
mesh_terms: D001291:Attitude of Health Personnel; D015510:Clinical Medicine; D003657:Decision Making; D003695:Delivery of Health Care; D006801:Humans; D009729:Nursing; D018802:Patient-Centered Care / Q000379:methods; D010604:Pharmacy; D011570:Psychiatry
keywords: adherence; compliance; concept analysis; concordance; management; medicine; nursing; partnership; pharmacy; psychiatry