Diagnosis and management of patient noncompliance.
Diagnosis and management of patient noncompliance.
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患者不依从性的诊断和管理。
DOI：
10.1001/jama.1974.03230370045023
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发表时间：
1974
期刊：
影响因子：
--
通讯作者：
A. Barsky
中科院分区：
文献类型：
--
作者：
R. Gillum;A. Barsky
患者不遵守医疗方案是当今医学界面临的主要未解决的治疗问题之一。医生很难识别和处理不合规者。对文献的批判性回顾表明，与不遵医嘱最一致的因素是(1)心理因素，(2)环境和社会因素，(3)治疗方案的特点，以及(4)医患互动的特性。基于这些信息，改进诊断和管理的策略是可行的。（美国医学会杂志228:1563-1567,1974）
Patient noncompliance with medical regimens is one of the major unsolved therapeutic problems confronting the medical profession today. Physicians have great difficulty identifying and dealing with noncompliers. A critical review of the literature has disclosed that the factors most consistently related to noncompliance are (1) psychological factors, (2) environmental and social factors, (3) characteristics of the therapeutic regimen, and (4) properties of the physician-patient interaction. Based on this information, a strategy for the improved diagnosis and management of noncompliance is feasible. ( JAMA 228:1563-1567, 1974)