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Patient Decision Making: The Missing Ingredient in Compliance Research

Published online by Cambridge University Press:  10 March 2009

Jenny L. Donovan
Jenny L. Donovan
Affiliation:
University of Bristol
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Abstract

Medical noncompliance has been identified as a major public health problem that imposes a considerable financial burden upon modern health care systems. There is a large research record focusing on the understanding, measurement, and resolution of noncompliance, but it is consistently found that between one third and one half of patients fail to comply with medical advice and prescriptions. Critically absent from this research record has been the patient's role in medical decision making. For patients, particularly those with chronic illnesses, compliance is not an issue: they make their own reasoned decisions about treatments based on their own beliefs, personal circumstances, and the information available to them. The traditional concept of compliance is thus outmoded in modern health care systems, where chronic illness and questioning patients predominate.

Type
Special Section: The Rational Use of Therapeutic Drugs
Information
International Journal of Technology Assessment in Health Care , Volume 11 , Issue 3 , Summer 1995 , pp. 443 - 455
Copyright
Copyright © Cambridge University Press 1995

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References

1.Annals of Pharmacotherapy (editorial). Patient compliance. Annals of Pharmacotherapy, 1993, 27, S5–24.CrossRefGoogle Scholar
2.Audit Commission. A prescription for improvement. London: HMSO, 1994.Google Scholar
3.Barr, D. A.Competent patients and irrational choices (letter). New England Journal of Medicine, 1990, 323, 1353–54.Google Scholar
4.Bartlett, E. E., Grayson, M., Barker, R., Levine, D. M., Golden, A., & Libber, S.The effects of physician communication skills on patient satisfaction, recall and adherence. Journal of Chronic Disease, 1984, 37, 755–64.CrossRefGoogle ScholarPubMed
5.Bond, W. S., & Hussar, D. A.Detection methods and strategies for improving medication compliance. American Society of Hospital Pharmacists, 1991, 48, 1978–87.Google ScholarPubMed
6.Brock, D. W., & Wartmen, S. A.When competent patients make irrational choices. New England Journal of Medicine, 1990, 322, 1595–99.CrossRefGoogle ScholarPubMed
7.Buchholz, W. M.When competent patients make irrational choices (letter). New England Journal of Medicine, 1990, 323, 1354.Google Scholar
8.Cornwell, J.Hard earned lives. London: Tavistock, 1984.Google Scholar
9.DiMatteo, M. R.Enhancing patient adherence to medical recommendations. Journal of the American Association of Medicine, 1994, 271, 79–83.CrossRefGoogle ScholarPubMed
10.Donovan, J. L.Patient education and the consultation: The importance of lay beliefs. Annals of the Rheumatic Diseases, 1991, 50, 418–21.CrossRefGoogle ScholarPubMed
11.Donovan, J. L., & Blake, D. R.Patient non-compliance: Deviance or reasoned decision-making? Social Science and Medicine, 1992, 34, 507–13.CrossRefGoogle ScholarPubMed
12.Donovan, J. L., Blake, D. R., & Fleming, W. G.The patient is not a blank sheet: Lay beliefs and their relevance to patient education. British Journal of Rheumatology, 1989, 28, 58–61.CrossRefGoogle Scholar
13.Franicis, V., Korsch, B., & Morris, M.Gaps in doctor-patient communication. New England Journal of Medicine, 1969, 280, 535–38.CrossRefGoogle Scholar
14.Friedson, E.Professional dominance. New York: Dodd Mead and Co., 1970.Google Scholar
15.Garattini, S., & Garattini, L.Pharmaceutical prescriptions in four European countries. Lancet, 1993, 342, 1191–92.CrossRefGoogle ScholarPubMed
16.Gerbino, P. P.Foreword. Annals of Pharmacotherapy, 1993, 27, S3–4.CrossRefGoogle Scholar
17.Hamilton, R. A., & Briceland, L. L.Use of prescription-refill records to assess patient compliance. American Journal of Hospital Pharmacy, 1992, 49, 1691–96.Google ScholarPubMed
18.Henbest, R. J., & Stewart, M.Patient centredness in the consultation: Does it really make a difference? Family Practice, 1990, 7, 28–33.CrossRefGoogle Scholar
19.Heszen-Klemens, I., & Lapinska, E.Doctor-patient interaction, patients' health behaviour and effects of treatment. Social Science and Medicine, 1984, 19, 9–18.CrossRefGoogle ScholarPubMed
20.Hulka, B. S., Cassel, J. H., Kupper, L. L., & Burdette, J. A.Communication, compliance and concordance between physicians and patients with prescribed medications. American Journal of Public Health, 1976, 66, 847–53.CrossRefGoogle ScholarPubMed
21.Kessler, D. A.Communicating with patients about their medications. New England Journal of Medicine, 1991, 325, 1650–52.CrossRefGoogle ScholarPubMed
22.Korsch, B. M., Freeman, B., & Negrete, V. F.Practical implications of the doctor-patient interaction analysis for pediatric practice. American Journal of Diseases of Childhood, 1971, 121, 110–14.Google ScholarPubMed
23.Kruse, W.Patient compliance with drug treatment: New perspectives on an old problem. Clinical Investigator, 1992, 70, 163–66.CrossRefGoogle Scholar
24.Ley, P., & Spelman, M. S.Communicating with the patient. London: Staples Press, 1967.Google Scholar
25.Locker, D.Symptoms and illness. London: Tavistock, 1981.Google Scholar
26.Malenka, D. J., Baron, J. A., Johansen, S., Wahrenberger, J. W., & Ross, J. M.The framing effect of relative and absolute risk. Journal of General Internal Medicine, 1993, 8, 543–48.CrossRefGoogle ScholarPubMed
27.Morrison, R.Medication non-compliance. Canadian Nurse, 1993, 98, 15–18.Google Scholar
28.Olivieri, N. F., Matsui, D., Hermann, C., & Koren, G.Compliance assessed by the Medication Event Monitoring System. Archives of Disease in Childhood, 1991, 66, 1399–1402.CrossRefGoogle ScholarPubMed
29.Proos, M., Reiley, P., Eagan, J., Stengrevics, S., Castile, J., & Arian, D. A study of the effects of self-medication on patients' knowledge of and compliance with their medication regimen. Journal of Nursing Care Quarterly, 1992, 18–26.CrossRefGoogle Scholar
30.Redelmeier, D. H.Understanding patients’ decision. Journal of the American Medical Association, 1993, 270, 72–76.CrossRefGoogle Scholar
31.Rees, A. M.Communication in the patient-physician relationship. Bulletin of the Medical Library Association, 1993, 81, 1–10.Google Scholar
32.Rivers, P. H.Compliance aids: Do they work? Drugs and Aging, 1992, 2, 103–11.CrossRefGoogle ScholarPubMed
33.Roter, D. L., & Hall, J. A.Strategies for enhancing patient adherence to medical recommendations. Journal of the American Medical Association, 1994, 271, 80–81.CrossRefGoogle ScholarPubMed
34.Rudd, P., Ahmed, S., Zachary, V., Barton, C., & Bonduelle, D.Issues in patient compliance: The search for therapeutic sufficiency. Cardiology, 1992, 80(Suppl.) 2–10.CrossRefGoogle ScholarPubMed
35.Schlar, D. A.Improving medication compliance: A review of selected issues. Clinical Therapeutics, 1991, 13, 436–40.Google Scholar
36.Starfield, B., Wray, C., Hess, K., Gross, R., Birk, P., & D'Lugoff, B.The influence of patient-practitioner agreement on outcome of care. American Journal of Public Health, 1981, 71, 127–31.CrossRefGoogle ScholarPubMed
37.Steiner, J. F., Fihn, S. D., Blair, B., & Inui, T.S.Appropriate reductions in compliance among well-controlled hypertensive patients. Journal of Clinical Epidemiology, 1991, 44, 1361–71.CrossRefGoogle ScholarPubMed
38.Stockwell Morris, L., & Schulz, R. M.Patient compliance: An overview. Journal of Clinical Pharmacy and Therapeutics, 1992, 17, 283–95.CrossRefGoogle Scholar
39.Stockwell Morris, L., & Schulz, R. M.Medication compliance: The patient's perspective. Clinical Therapeutics, 1993, 15, 593–606.Google Scholar
40.Svarstad, B. The doctor-patient encounter: An observational study of communication and outcome. Unpublished dissertation, University of Wisconsin, 1974.Google Scholar
41.Tetersell, M. J.Asthma patients' knowledge in relation to compliance with drug therapy. Journal of Advanced Nursing, 1993, 18, 103–13.CrossRefGoogle Scholar
42.Trostle, J. A.Medical compliance as an ideology. Social Science and Medicine, 1988, 20, 1299–308.CrossRefGoogle Scholar
43.Tuckett, D. A., Boulton, M., Olson, C., & Williams, A.Meetings between experts: An approach to sharing ideas in medical consultations. London: Tavistock, 1986.Google Scholar
44.Waitzkin, H.A critical theory of medical discourse. Journal of Health and Social Behaviour, 1989, 30, 220–39.CrossRefGoogle ScholarPubMed
45.Wennberg, J. E.Outcomes research, patient preference, and the primary care physician. Journal of the American Board of Family Practice, 1991, 4, 365–67.Google ScholarPubMed
46.Wright, E. C.Non-compliance: Or how many aunts has Matilda? Lancet, 1993, 342, 909–13.CrossRefGoogle ScholarPubMed