PATIENT COMPLIANCE - AN OVERVIEW

被引:196
作者
MORRIS, LS [1 ]
SCHULZ, RM [1 ]
机构
[1] UNIV S CAROLINA, COLL PHARM, COLUMBIA, SC 29208 USA
关键词
D O I
10.1111/j.1365-2710.1992.tb01306.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
This article reviews the major topic areas of compliance research. Much of the research in the area has focused on measurement, extent, and determinants of non-compliance. Research on the effectiveness of educational and behavioural strategies to improve compliance suggests the need to combine them. While some authors have attempted to model compliance or medication-taking behaviours, these models cannot be applied widely. After decades of compliance research, very little consistent information is available, except that people do not take their medications as prescribed. The methodological rigour of compliance studies may partially contribute to this situation. Methodological flaws have included design features and study execution. In addition, researchers have proceeded with studies without regard to a theoretical framework. Many have argued that much of the existing compliance literature also lacks conceptual rigour. Although we know that people do not take their medications consistently, we do not know specifically why they have done so. One reason for this lack of understanding is that compliance research has been dominated by the perspective of the health professional. To better understand medication-taking behaviour, researchers need to examine the patient's perspective. Consequently, future research needs to investigate a patient's decision-making process and the reasons for those decisions.
引用
收藏
页码:283 / 295
页数:13
相关论文
共 105 条
[1]  
ALLEN E. A., 1964, CAN J PUBLIC HEALTH, V55, P323
[3]  
ASCIONE FJ, 1984, DRUG INTEL CLIN PHAR, V18, P926, DOI 10.1177/106002808401801121
[4]   LITHIUM MAINTENANCE TREATMENT OF MANIC-MELANCHOLIC PATIENTS - ROLE IN DAILY ROUTINE [J].
BECH, P ;
VENDSBORG, PB ;
RAFAELSEN, OJ .
ACTA PSYCHIATRICA SCANDINAVICA, 1976, 53 (01) :70-81
[5]   SOCIOBEHAVIORAL DETERMINANTS OF COMPLIANCE WITH HEALTH AND MEDICAL CARE RECOMMENDATIONS [J].
BECKER, MH ;
MAIMAN, LA .
MEDICAL CARE, 1975, 13 (01) :10-24
[6]  
Becker MH., 1984, HLTH CARE HUM BEHAV, P175
[7]   FAILURE OF CHILDREN TO RECEIVE PENICILLIN BY MOUTH [J].
BERGMAN, AB ;
WERNER, RJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1963, 268 (24) :1334-&
[8]  
BROWN CS, 1987, HOSP COMMUNITY PSYCH, V38, P55
[10]  
BURRELL CD, 1985, 1984 IMPR MED COMPL, P7