Medication practice and feminist thought: a theoretical and ethical response to adherence in HIV/AIDS.
Medication practice and feminist thought: a theoretical and ethical response to adherence in HIV/AIDS.
复制标题
药物治疗实践和女权主义思想：对艾滋病毒/艾滋病依从性的理论和伦理反应。
DOI：
10.1111/j.1467-8519.2005.00449.x
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
Erlen,JudithA
中科院分区：
文献类型：
--
作者：
Broyles,LaurenM;Colbert,AlisonM;Erlen,JudithA
Accurate self‐administration of antiretroviral medication therapy for HIV/AIDS is a significant clinical and ethical concern because of its implications for individual morbidity and mortality, the health of the public, and escalating healthcare costs. However, the traditional construction of patient medication adherence is oversimplified, myopic, and ethically problematic. Adherence relies on existing social power structures and western normative assumptions about the proper roles of patients and providers, and principally focuses on patient variables, obscuring the powerful socioeconomic and institutional influences on behaviour. Some professionals advocate for alternate approaches to adherence, but many of the available alternatives remain conceptually underdeveloped. Using HIV/AIDS as an exemplar, this paper presents medication practice as a theoretical reconstruction and explicates its conceptual and ethical evolution. We first propose that one of these alternatives, medication practice, broadens the understanding of individuals’ medication‐taking behaviour, speaks to the inherent power inequities in the patient‐provider interaction, and addresses the ethical shortcomings in the traditional construal. We then integrate medication practice with feminist thought, further validating individuals’ situated knowledge, choices, and multiple roles; more fully recognizing the individual as a multidimensional, autonomous human being; and reducing notions of obedience and deference to authority. Blame is thus extricated from the healthcare relationship, reshaping the traditionally adversarial components of the interaction, and eliminating the view of adherence as a patient problem in need of patient‐centred interventions.
