Anderson R J, Kirk L M
Arch Intern Med. 1982 Sep;142(9):1673-5.
Patients with chronic diseases fail to comply with the regimen prescribed by the physician for a variety of reasons. Physicians must be aware of the likelihood of noncompliance in the individual patient and make strong efforts to detect problems and persuade patients with the importance of adherence to a program designed to reach and maintain stated, and often negotiated, therapeutic goals. It is the physician's responsibility to teach, motivate, and strengthen the patient to maximize compliance in a largely unsupervised setting. This can best be accomplished by a process of "therapeutic partnership."
患有慢性病的患者由于多种原因未能遵循医生规定的治疗方案。医生必须意识到个体患者不依从治疗的可能性，并大力努力发现问题，说服患者认识到坚持一个旨在实现并维持既定且通常是协商好的治疗目标的方案的重要性。在很大程度上缺乏监管的情况下，教导、激励并强化患者以实现最大程度的依从性是医生的责任。这最好通过“治疗伙伴关系”的过程来实现。
