Stoudemire A, Thompson T L
Gen Hosp Psychiatry. 1983 Dec;5(4):233-9. doi: 10.1016/0163-8343(83)90001-4.
Medication noncompliance is a significant problem in medical practice, but many intervention strategies developed for noncompliant patients (such as tangible rewards, contingency contracting) are not practical for the large numbers of patients seen by private practitioners on an ongoing basis. Based upon a review of the literature concerning the key determinants affecting compliance, the authors have developed a practical, rational, and systematic approach to assessing medication compliance that may serve as a guide for psychiatrists in formulating consultation recommendations, in liaison teaching activities, and in clinical psychiatric practice. Special emphasis is placed upon the identification of psychiatric syndromes that may negatively affect compliance. Implications for compliance-related research in consultation-liaison psychiatry are also discussed.
药物治疗不依从是医疗实践中的一个重大问题，但为不依从患者制定的许多干预策略（如实物奖励、权变契约）对于私人执业医生长期接诊的大量患者来说并不实用。基于对有关影响依从性的关键决定因素的文献综述，作者们开发了一种实用、合理且系统的方法来评估药物治疗依从性，这可为精神科医生在制定会诊建议、联络教学活动以及临床精神科实践中提供指导。特别强调了识别可能对依从性产生负面影响的精神综合征。还讨论了其对会诊-联络精神病学中依从性相关研究的启示。
