As promised in A Review Of Treatment Adherence – 2010, Part 2 of the summary review of patient noncompliance is now live on pharmaphorum at Rethinking patient noncompliance (Part 2).
As before, I am posting only the major headings from the piece here.
Patient noncompliance: Misunderstood concept – ineffective solutions
Development of an effective methodology for managing patient noncompliance remains unlikely as long as the strategies being investigated are limited to those already shown to be ineffective.
Key Point: Noncompliance is not exclusively a medical issue but a personality trait that manifests in many areas of life. Treating patient compliance as though it’s a straightforward, sui generis phenomenon independent of other human behavior all but eliminates the potential for significant advances in the field.
Employing a Copernican perspective to find compliance solutions that work
- Do away with the restrictions implicit in the contention that healthcare compliance is unique.
- Change the compliance game from clinician vs. patient to clinician & patient vs. problem being treated
Readers interested in the complete paper can find it at Rethinking patient noncompliance (Part 2).