Medical compliance researchers have produced more than 4000 scientific papers in the past two decades, but their research into the determinants of non-compliance has been inconclusive. This paper argues that the popularity of compliance and the uncertainty over its determinants can be understood if compliance is analyzed as an ideology that assumes and justifies physician authority. I explore compliance as a problematic concept, looking at its assumptions and its influences on clinical practice. The concept of patient compliance has a social history linked to the struggle to create and maintain physician control over infant feeding technology earlier in this century. But while physicians were successful in that struggle, they have never exercised complete control over health care products. Compliance must be reconceptualized and its research reoriented if it is accurately to portray medication usage and related health behaviors outside the clinic.

译文

:过去20年来,医学依从性研究人员已发表了4000多篇科学论文,但他们对不依从性决定因素的研究尚无定论。本文认为,如果将依从性作为假设并证明医师权威的意识形态进行分析,则可以理解依从性的普遍性及其决定因素的不确定性。我将依从性作为一个有问题的概念进行探讨,考察其假设及其对临床实践的影响。患者依从性的概念具有与本世纪初为创建和维持医师对婴儿喂养技术的控制而进行的斗争有关的社会历史。但是,尽管医生们在这一斗争中取得了成功,但他们从未对保健产品实施完全控制。如果要准确地描述诊所外的药物使用情况和相关的健康行为,则必须重新概念化合规性,并重新调整研究方向。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录