Abstract
A survey was carried out by telephone on 201 patients receiving continuing care from internists for commonly occurring chronic conditions. Although 90% of patients knew the names and therapeutic purposes of the drugs prescribed for them, only 30% could name any side effects to watch for. Almost 90% were satisfied with their physicians' explanations but only 58% actually had a good understanding of their condition. More than 90% complied with their drug regimen but only 39% adhered to the prescribed low-sodium diet and only 55% of diabetic patients tested their urines as instructed. Overall, degree of satisfaction and knowledge of their own condition did not correlate with degree of compliance.
Patients need more adequate education regarding their condition and potential side effects of drugs. More systematic attention should also be given to methods of motivating patients to comply with regimens that require a change in behavior.
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Selected References
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- Becker M. H., Maiman L. A. Sociobehavioral determinants of compliance with health and medical care recommendations. Med Care. 1975 Jan;13(1):10–24. doi: 10.1097/00005650-197501000-00002. [DOI] [PubMed] [Google Scholar]
- Gillum R. F., Barsky A. J. Diagnosis and management of patient noncompliance. JAMA. 1974 Jun 17;228(12):1563–1567. [PubMed] [Google Scholar]
- Hulka B. S., Kupper L. L., Cassel J. C., Mayo F. Doctor-patient communication and outcomes among diabetic patients. J Community Health. 1975 Fall;1(1):15–27. doi: 10.1007/BF01318940. [DOI] [PubMed] [Google Scholar]
- Inui T. S., Yourtee E. L., Williamson J. W. Improved outcomes in hypertension after physician tutorials. A controlled trial. Ann Intern Med. 1976 Jun;84(6):646–651. doi: 10.7326/0003-4819-84-6-646. [DOI] [PubMed] [Google Scholar]
- Levine D. M., Green L. W., Deeds S. G., Chwalow J., Russell R. P., Finlay J. Health education for hypertensive patients. JAMA. 1979 Apr 20;241(16):1700–1703. [PubMed] [Google Scholar]
- Pless I. B., Miller J. R. Apparent validity of alternative survey methods. J Community Health. 1979 Fall;5(1):22–27. doi: 10.1007/BF01321567. [DOI] [PubMed] [Google Scholar]
- Rosenblatt R. A., Cherkin D. C., Schneeweiss R., Hart L. G. The content of ambulatory medical care in the United States. An interspecialty comparison. N Engl J Med. 1983 Oct 13;309(15):892–897. doi: 10.1056/NEJM198310133091505. [DOI] [PubMed] [Google Scholar]
- Sanazaro P. J. Determining physicians' performance. Continuing medical education and other interacting variables. Eval Health Prof. 1983 Jun;6(2):197–210. doi: 10.1177/016327878300600205. [DOI] [PubMed] [Google Scholar]
- Starfield B., Steinwachs D., Morris I., Bause G., Siebert S., Westin C. Concordance between medical records and observations regarding information on coordination of care. Med Care. 1979 Jul;17(7):758–766. doi: 10.1097/00005650-197907000-00006. [DOI] [PubMed] [Google Scholar]