Christensen D B
Health Serv Res. 1978 Summer;13(2):171-87.
Patient compliance in taking prescribed drugs is still not well understood despite numerous studies. The state of knowledge through 1976 is reviewed, with some methodological criticisms of compliance studies, and patient, provider, disease, and drug factors associated with compliance are analyzed. Until recently the lack of a well-developed theory or model of compliance behavior was a major problem. Some compliance models based on the health belief model are discussed, and an alternative adaptation of the latter is developed.
尽管进行了大量研究,但患者对处方药的依从性仍未得到很好的理解。本文回顾了截至1976年的相关知识状况,对依从性研究的一些方法进行了批评,并分析了与依从性相关的患者、医护人员、疾病和药物因素。直到最近,缺乏完善的依从性行为理论或模型仍是一个主要问题。文中讨论了一些基于健康信念模型的依从性模型,并对后者进行了一种替代性的调整。