"Sticky" Issues for Adherence in Secondary Prevention.

"Sticky" Issues for Adherence in Secondary Prevention.
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二级预防依从性的“棘手”问题。

DOI:
10.1016/j.jacc.2017.07.788
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发表时间:
2017
影响因子:
24
通讯作者:
Navar,AnnMarie
Navar,AnnMarie
中科院分区:
医学1区
文献类型:
--
作者:
Peterson,EricD;Navar,AnnMarie

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-Malcolm Gladwell(1)在他的书《引爆点》中,Malcolm Gladwell(1)调查了在人们的信仰和行为中创造持续变化的必要因素。他强调的三个关键要素之一是“粘性”--或者说一个信息或想法随着时间的推移与个人“粘在一起”的程度。粘性是让孩子们一遍又一遍地回到芝麻街的原因,也是为什么他们的父母每次都本能地购买同一品牌的麦片。营销人员明白粘性对他们的成功至关重要,他们会花很大的努力来确保他们的信息更有影响力,更令人难忘,从而更有粘性。同样,卫生保健专业人员需要促进患者持续的行为改变。然而,与营销人员不同,临床医生传统上不会考虑他们的信息是否对患者具有足够的粘性或吸引力。因此,药物依从性是医学最大的未解决的挑战之一。
—Malcolm Gladwell (1) In his book The Tipping Point, Malcolm Gladwell (1) investigates factors necessary to create sustained change in people’s beliefs and behaviors. One of the 3 key elements he emphasizes is “stickiness”—or the degree to which a message or idea “sticks” with individuals over time. Stickiness is what makes children return to Sesame Street over and over again, or why their parents instinctively buy the same brand of cereal every time. Marketers understand that stickiness is critical to their success—and spend great efforts to ensure that their messaging is more impactful, memorable, and thus more sticky. Health care professionals, similarly, need to facilitate sustained behavioral change in their patients. However, unlike marketers, clinicians do not traditionally think about whether their messages are sufficiently sticky or compelling to their patients. As a result, medication adherence represents one of medicine’s greatest unsolved challenges.
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