Looking At Patient Compliance From Both Sides Now

04-11-2007 | Categories:



The Midwife’s Molars

While most AlignMap posts focus on research or articles from the medical literature about patient compliance, medication adherence programs, or clinical tactics to enhance compliance, recently I’ve been struck by the insights proffered by bloggers writing about their own experiences with healthcare compliance, either as clinicians or patients.

A few days ago, The Midlife Midwife published Patient Compliance, in which she compares the recalcitrance of her own patients to adopting her recommendations for preventive health care (such as pap smears, mammograms, and exercise) with her own resistance to following her dentist’s prescription for ongoing care of her teeth (e.g., flossing, regular exams).

Oh, and there’s that seven year history of avoiding treatment of those five molars with “deep fissures and cracks” that are on “the verge of breaking”

Her approach to the issue is thoughtful, her analysis of her own motivations candid and revealing, and her conclusions all the more heartening for her refusal to accept the easy, standard answers.

I don’t know the answer to how to change the situation. I do what Dr. S. did. I try to educate. I try to remove financial and physical barriers. I try to encourage women and allay their fears. I try to make their visits pleasant enough that they will return. Experiences like going to the dentist also remind me to be just a little more understanding of the reasons patients are non-compliant.

Notice: Spoiler Alert
She’s getting the molars fixed.


Link
This post can be found at ~Midlife Midwife on Patient Compliance~.



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