Talkington D R
J Fam Pract. 1978 Mar;6(3):591-5.
Research studies consistently find that a large proportion of patients do not comply with physicians' recommendations. Consequences of such high noncompliance on the efficiency and effectiveness of health-care delivery systems are dramatic and obvious. Recognition of this problem was the impetus for beginning this patient compliance study. Key factors involved in maximizing patient compliance were identified and incorporated into a procedure which patients in the experimental group experienced. Patients in the control group experienced. Patients in the control group experienced no special treatment. Compliance rates were higher for the experimental group; however, compliance rates in both control and experimental groups tended to be higher than cited in the literature. It was founded that patients in the experimental group seemed to react more favorably to the personal interaction they received as part of the procedure than to other facets of the procedure. Findings of the study imply that increased compliance may be the end result if greater emphasis is placed on building a partnership with the patient rather than making compliance itself a major goal.
研究一直发现，很大一部分患者不遵循医生的建议。这种高度不依从对医疗保健提供系统的效率和效果所产生的后果是巨大且明显的。认识到这个问题是开展这项患者依从性研究的动力。确定了提高患者依从性的关键因素，并将其纳入实验组患者所经历的一个程序中。对照组患者没有接受特殊治疗。实验组的依从率更高；然而，对照组和实验组的依从率往往都高于文献中所引用的比率。研究发现，实验组的患者似乎对他们在程序中作为一部分所接受的人际互动反应更为积极，而不是对程序的其他方面。该研究的结果表明，如果更加强调与患者建立伙伴关系，而不是将依从性本身作为主要目标，那么提高依从性可能是最终结果。
