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Doctor's Orders
Rethinking Compliance in Dermatology
Arch Dermatol. 2002;138:393-394.
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AS CHILDREN, most of us knew that when we were sick we were to follow
"doctor's orders" (and our parents were generally the enforcers to ensure
that we did). Once I became an adult and began practicing medicine, I found
that many patients—even I, for heaven's sake—do not always follow
doctor's orders. We can be, as they say, noncompliant.
Noncompliance with prescribed medications for chronic diseases (eg,
most dermatologic diseases) is a particularly prevalent problem, approaching
50% in many studies.1 Moreover, noncompliance
with prescribed therapies is a problem that does not go away; noncompliant
patients often return without achieving the improvement they sought. Although
some studies have not found a relationship between patient compliance and
better health outcomes,2 there is growing evidence
that in most clinical situations, noncompliance with therapies has a negative
effect.3 Furthermore, intriguing evidence suggests
that compliance itself may be good for patients' health independent of the
. . . [Full Text of this Article]
RELATED ARTICLE
Association of Dissatisfaction With Care and Psychiatric Morbidity With Poor Treatment Compliance
Cristina Renzi, Angelo Picardi, Damiano Abeni, Elisabetta Agostini, Giannandrea Baliva, Paolo Pasquini, Pietro Puddu, and Mario Braga
Arch Dermatol. 2002;138(3):337-342.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Poor Adherence to Treatments: A Fundamental Principle of Dermatology
Ali et al.
Arch Dermatol 2007;143:912-915.
FULL TEXT
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