Some recent posts at AlignMap, my web site and blog about adherence to treatment (or, more pertinently, to the lack of adherence to treatment), may prove interesting to Heck Of A Guy readers.
Patients Who Lie To Their Clinicians
Of special interest are patients who lie about adherence, i.e., whether or not they took their medications as prescribed, because doing so is common1 and because doing so triggers cascades of risk to the patient and costs to everyone. I argue that the current patient compliance paradigm encourages patients to mislead their clinicians and, of course, offer a solution.
My Application For Surgeon General
President Obama has yet to appoint a permanent Surgeon General of the United States.2 I don’t have a job. Is this a match made in heaven or what?
The AMA Resolution On Abusive And Hostile Patients
At the recent annual AMA meeting, Resolution 710, “Identifying Abusive, Hostile or Non-Compliant Patients,” surfaced. It wasn’t pretty. In case you missed it, the opening paragraph sets the tone for the document:
Whereas, Many patients are becoming more abusive and hostile toward physicians for many reasons not limited to the economy, increasing co-pays and deductibles, unreasonable expectations and demands, a lack of instantaneous cure, arrogance and/or the belief that they “own” their physicians;
Three posts were launched in the effort to determine why the AMA was trying to self-destruct:
- AMA Resolution On Non-Compliant Patients – What’s Up With That?
- A Different AMA View Of Non-Compliant Patients
- AMA Non-Compliant Patients Resolution “Not Adopted” On Technicality
There Will Be Blood
Bloodletting As A Model For Adherence
I’m campaigning for radical changes in the current view of patient compliance because – well, because the current view of patient compliance doesn’t work. In this post, I point out the parallels between bloodletting and the prevalent concept of patient compliance and the similar dangers each entails.
- Precise measures are impossible to garner, but studies suggest that at least 30% of patients both do not take medication as prescribed and tell their doctors they have been adherent and dump their medications to support the lie. [↩]
- Rear Admiral Steven K. Galson, USPHS, is the Acting Surgeon General of the United States. [↩]