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- W2090437807 abstract "Thousands of articles on “noncompliance” have appeared since 1975. Yet the term has been criticized as paternalistic—as wrongly implying that patients should necessarily follow doctors' orders. This paper, which reviews how noncompliance has been constructed historically, argues that the problem with noncompliance is more than just one of terminology. Changing social and cultural factors during the 20th century have influenced the way in which uncooperative patients have been described. For example, resentment of poor immigrants in the early 1900s led doctors to describe tuberculosis patients who did not follow advice as “ignorant” and “vicious.” Following World War II, patients who balked at taking new curative antibiotics for tuberculosis were called “recalcitrant.” The term “noncompliance,” popularized by Sackett and Haynes in the 1970s, reflected their early role in the field of research now termed “evidence-based medicine.” While Sackett and Haynes had hoped that the new term would eschew earlier value judgments, noncompliance, through its association with the positivistic ethos of evidence-based medicine, has been conceptualized as a “tragic” problem potentially solvable by clinical research. Hence, noncompliant patients are still seen as deviant. With the growth of managed care in the United States, there is increasing pressure to get patients to follow medical recommendations. History suggests that labels such as “noncompliant” are invariably judgmental. Rather than seeing the provider's role as trying to get noncompliant patients to comply, we should emphasize the importance of negotiation and accommodation within the provider-patient relationship." @default.
- W2090437807 created "2016-06-24" @default.
- W2090437807 creator A5083473658 @default.
- W2090437807 date "1997-11-01" @default.
- W2090437807 modified "2023-10-15" @default.
- W2090437807 title "From careless consumptives to recalcitrant patients: The historical construction of noncompliance" @default.
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- W2090437807 doi "https://doi.org/10.1016/s0277-9536(97)00067-1" @default.
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