Lewis C, Linet M S, Abeloff M D
Am J Med. 1983 Apr;74(4):673-8. doi: 10.1016/0002-9343(83)91026-4.
Although compliance with treatment regimens has been shown to be a significant problem in many areas of medicine, there are little data quantitatively describing the extent of the compliance problem for cancer patients. Traditionally, compliance has been understood as the degree to which a patient's behavior coincides with the prescribed medical regimen. However, patient behavior may be only one of several factors that determine compliance; other important components may include physician behavior, the patient-physician relationship, and the patient's support system, including family. In this report, we review the literature on cancer compliance in terms of the patient, the physician, and patient-physician relationships. Subgroups of patients are identified as appropriate for compliance research, and methodologic considerations and research strategies are explored.
尽管在医学的许多领域，遵循治疗方案已被证明是一个重大问题，但几乎没有数据定量描述癌症患者的依从性问题的严重程度。传统上，依从性被理解为患者行为与规定医疗方案相符的程度。然而，患者行为可能只是决定依从性的几个因素之一；其他重要因素可能包括医生行为、医患关系以及患者的支持系统，包括家庭。在本报告中，我们从患者、医生以及医患关系方面回顾了有关癌症依从性的文献。确定了适合进行依从性研究的患者亚组，并探讨了方法学考量和研究策略。
