Medical compliance as an ideology.
Medical compliance as an ideology.
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医疗合规作为一种意识形态。
DOI：
10.1016/0277-9536(88)90194-3
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
Trostle,JA
中科院分区：
文献类型：
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作者：
Trostle,JA
在过去的二十年里，医疗依从性研究人员已经发表了4000多篇科学论文，但他们对不依从性决定因素的研究一直没有定论。本文认为，如果将遵医行为作为一种意识形态来分析，认为遵医行为是医生权威的一种假设和证明，那么遵医行为的流行及其决定因素的不确定性就可以理解。我探讨依从性作为一个有问题的概念，在其假设和它对临床practices.The患者依从性的概念有一个社会历史的斗争，创造和维持医生控制婴儿喂养技术在本世纪早些时候。但是，虽然医生在这场斗争中取得了成功，但他们从未对医疗保健产品进行过完全的控制。依从性必须重新概念化，其研究重新定位，如果它是准确地描绘药物使用和相关的健康行为以外的诊所。
Medical compliance researchers have produced more than 4000 scientific papers in the past two decades, but their research into determinants of non-compliance has been inconclusive. This paper argues that the popularity of compliance and the uncertainty over its determinants can be understood if compliance is analyzed as an ideology that assumes and justifies physician authority. I explore compliance as a problematic concept, looking at its assumptions and its influences on clinical practice.The concept of patient compliance has a social history linked to the struggle to create and maintain physician control over infant feeding technology earlier in this century. But while physicians were successful in that struggle, they have never exercised complete control over health care products. Compliance must be reconceptualized and its research reoriented if it is accurately to portray medication usage and related health behaviors outside the clinic.