Peck C L, King N J
JAMA. 1982 Dec 3;248(21):2874-8.
In this review, we address the problem of patient noncompliance with taking prescribed medication. Eight methods of improving patient compliance are outlined as follows: (1) improving the physician-patient interaction, (2) fear-arousing health messages, (3) education, (4) written instructions, (5) special drug packaging, (6) tailoring, (7) self-monitoring, and (8) contingency management. Several problems associated with the use of compliance-enhancing strategies are mentioned. Finally, the Health Belief Model is suggested as a framework capable of integrating some of the research findings in this area.
在本综述中,我们探讨了患者不遵医嘱服药的问题。改善患者依从性的八种方法概述如下:(1)改善医患互动;(2)引起恐惧的健康信息;(3)教育;(4)书面说明;(5)特殊药物包装;(6)个性化;(7)自我监测;(8)应急管理。文中提到了与使用提高依从性策略相关的几个问题。最后,建议将健康信念模型作为一个能够整合该领域一些研究结果的框架。