Bronfman M, Castro R, Castro V, Guiscafré H, Muñoz O, Gutiérrez G
Area de Estudios Sociales de la Salud, Centro de Estudios Sociológicos, El Colegio de México, México.
Salud Publica Mex. 1991 Nov-Dec;33(6):568-75.
As part of the evaluation of an educational intervention carried out at primary health care units in Mexico City a home visit was included for patients treated for acute infectious diarrhea. In such visit, effected for 401 patients before the educational intervention and for 406 after the same, it was possible to evaluate compliance with the treatment measured through the amount of prescribed drugs distributed by the institution but not consumed by patients. A significant improvement was observed in compliance with the treatment even though this was not the explicit objective of the intervention. Compliance is related to variables of different dimensions--characteristics of the physician, characteristics of the patient, physician-patient rapport, health condition and health concept--and the educational intervention tends to homogenize the patient's behavior as a result of more emphatic improvement in those subgroups with worst compliance levels.
作为对在墨西哥城初级卫生保健单位开展的一项教育干预措施进行评估的一部分，对接受急性感染性腹泻治疗的患者进行了家访。在教育干预措施实施之前，对401名患者进行了家访，之后又对406名患者进行了家访。通过机构分发但患者未服用的处方药数量来衡量治疗依从性，从而得以对治疗依从性进行评估。尽管这并非干预措施的明确目标，但仍观察到治疗依从性有显著改善。依从性与不同层面的变量相关——医生的特征、患者的特征、医患关系、健康状况和健康观念——而教育干预措施往往会使患者的行为趋于一致，这是因为依从性最差的亚组有了更显著的改善。
