PATIENT DECISION-MAKING - THE MISSING INGREDIENT IN COMPLIANCE RESEARCH
PATIENT DECISION-MAKING - THE MISSING INGREDIENT IN COMPLIANCE RESEARCH
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DOI：
10.1017/s0266462300008667
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发表时间：
1995-06-01
影响因子：
3.2
通讯作者：
DONOVAN, JL
中科院分区：
文献类型：
--
作者：
DONOVAN, JL
医疗违规已被确定为一个主要的公共卫生问题，对现代医疗保健系统造成了相当大的财政负担。有大量的研究记录集中在理解，测量和解决不遵守，但它始终发现，三分之一至一半的病人不遵守医疗建议和处方。这项研究记录中严重缺失的是病人在医疗决策中的作用。对于患者，特别是那些患有慢性病的患者，依从性不是问题：他们根据自己的信仰，个人情况和可用的信息做出自己合理的治疗决定。因此，在现代医疗保健系统中，传统的依从性概念已经过时，慢性病和质疑患者占主导地位。
Medical noncompliance has been identified as a major public health problem that imposes a considerable financial burden upon modern health care systems. There is a large research record focusing on the understanding, measurement, and resolution of noncompliance, but it is consistently found that between one third and one half of patients fail to comply with medical advice and prescriptions. Critically absent from this research record has been the patient's role in medical decision making. For patients, particularly those with chronic illnesses, compliance is not an issue: they make their own reasoned decisions about treatments based on their own beliefs, personal circumstances, and the information available to them. The traditional concept of compliance is thus outmoded in modern health care systems, where chronic illness and questioning patients predominate.