Understanding and Improving Patient Compliance

  1. STEPHEN A. ERAKER, M.D., M.P.H.;
  2. JOHN P. KIRSCHT, Ph.D.; and
  3. MARSHALL H. BECKER, Ph.D., M.P.H.
  1. Ann Arbor, Michigan

    Abstract

    The problem of patient compliance, as well as the ability of the physician to understand, detect, and improve compliance, are described in relation to a new model of health decisions and patient behavior. The health decision model combines decision analysis, behavioral decision theory, and health beliefs. This model provides a framework for modifying general health beliefs; treatment recommendations; experience with therapeutic regimens and health care providers; patient knowledge and social interaction patterns. Physicians, guided by certain ethical restraints, are in a unique position of responsibility and opportunity to actively encourage patient compliance with treatment.

    Article and Author Information

    • ▸From the Veterans Administration Medical Center and the Department of Internal Medicine, Department of Health Behavior and Health Education, and Department of Medical Care Organization, School of Public Health, University of Michigan; Ann Arbor, Michigan.

    • ▸Requests for reprints should be addressed to Stephen A. Eraker, M.D., M.P.H.; Veterans Administration Medical Center, 2215 Fuller Road; Ann Arbor, MI 48105

    « Previous | Next Article »Table of Contents