Patient Non-Compliance and Shared Decision Making in Medical Field

If you have been walking around in health care for a long time, your path will ultimately cross nonconforming patients and have a different record from nonconforming patients. Patients who do not meet the requirements are defined as having the possibility that "patient behavior" interferes with the treatment of various medical conditions and may result in serious medical consequences. Although not being complied with, it is possible that patient outcome may be at risk if merely doing medical care and overtime work. Definition of patient non-compliance Four criteria are recommended when defining patient non-compliance behavior. 1) Is there a possibility that the patient's medical problem is serious, or is there a serious risk to life?

Patient compliance (the extent to which patients follow medical advice and treatment plan) is important to achieve good health results in almost all medical settings. Patient noncompliance is a major barrier to health care provision and successful patient outcomes, as patient compliance and poor compliance rates can complicate diseases and reduce the effectiveness of interventions. According to the report of the World Health Organization (WHO) (2003), 50% of patients with chronic diseases in developed countries do not follow the prescribed treatment options, resulting in increased burden of human diseases. Due to serious and complex barriers (such as distance, cost, general access, health literacy, cultural beliefs, and lack of comprehensive and sustained treatment) compliance rates in developing regions are estimated to be even lower I will.

Medical noncompliance can be a complicated problem especially for patients with chronic illness. Among non-compliant studies, it has been shown that about 10% to 90% of patients do not follow clinician's instructions, and most researchers believe that at least half of the patients are taking prescription medication correctly We do not believe (Breslow and Cengage, 2002). Patient failure rate of chronic disease patients is as high as 50% (Ross et al., 2004). Many factors such as fear of complications of diabetes, insufficient understanding of medical condition, improvement of health condition, deterioration of health condition, drug disapproval, and side effects may affect compliance judgment (Ross et al., 2004). For some patients, the fact that there is no symptoms of diabetes and is refreshed may encourage them not to follow treatment

The field of psychiatry tends to adhere to all other characteristics. An obedient patient, after all, is a person who follows the order of taking medicine on time and being displayed on the date, if you think that you will inform others by hurting yourself. However, hospitals are not compliance environments, patients can not touch fresh air or sunlight, they need to follow some rules, such as asking about medications or talking with hospital administrators about wards. They are displayed as "difficult". "And more aggressively, when I was in the hospital, I saw a frustrated woman throwing a cold tea on the floor and escalating the same woman injected with a sedative as it was nailed by a security guard .