Talk:Compliance (medicine)

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The proposed merging is a very good idea Alanmcleod 18:02, 12 March 2007 (UTC)Alan McLeod

[edit] terminology: adherence vs. compliance

'Adherence' is the more useful term in describing the degree to which a patient follows a prescribed health regimen.

'Compliance' should not be used to describe the degree to which a patient adheres to a prescribed regimen because the term 'compliance':

1. denotes a power relationship between the prescriber and patient ( i.e. and implies that the patient is subordinate to the authoritarian prescriber and must submit to an unpleasant prescription )

2. implies that the patient is being commanded and challenged to obey in the same way that a law commands and challenges a citizen to obey (and thus, when a patient is 'non-compliant' one is essentially saying the patient is a 'scofflaw').

An intelligent patient will typically feel resentment and mistrust toward a practitioner who harbors this cynical "compliance/non-compliance" attitude.

'Adherence' appropriately describes the actions of patient towards the prescribed regimen without conferring an authoritarian position to the prescriber ( physician ). The term 'adherence' removes the connotation of law enforcement and submission. The term 'adherence' opens a constructive line of inquiry when a health care regimen is not followed. The term 'adherence' invites the patient and physician to engage successfully in a collaborative process to prevent illness or restore health. Constantinos Voulgaropoulos 02:18, 11 September 2007 (UTC)

Compliance is a term still widely used by health care professionals in the UK, it has been noted that the term may seem derogatory but as the ethos was shifting to using a concordance approach instead the term has remained. --Nate1481( t/c) 09:05, 11 September 2007 (UTC)