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Lexicafollowshare
6-4-2009 4:57 PM
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Lexica says:
I was particularly interested in what he says about "compliance" and "noncompliance". Health care has made a lot of progress away from the former paternalistic, doctor-knows-best model. However, you start talking about "compliance" and the orientation inevitably shifts to one where the patient is stupid or lazy and is working against the (noble, knowledgeable) doctor's best efforts to heal them.

If a patient is non-compliant, ask "Why?"

More:
I think “noncompliance” is a control word, a power word, and we need a slightly different one. “Compliance” means I order and you either do it or not; you obey. Patients live in their bodies and may know more than the person who prescribes or does their procedure. They may know better about what is going on in their body and about the optimization of their own life. I think people who aren’t taking their own medicine are telling us valuable information about their medications and their life, and we need to listen to them.
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