Patient Decision Making: The Missing Ingredient in Compliance Research

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    237 Citations (Scopus)


    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.
    Translated title of the contributionPatient decision-making: the missing ingredient in compliance research
    Original languageEnglish
    Pages (from-to)443-455
    Number of pages12
    JournalInternational Journal of Technology Assessment in Health Care
    Issue number3
    Publication statusPublished - Jun 1995


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