tailieunhanh - English for Professional and Academic Purposes phần 5

Tham khảo tài liệu 'english for professional and academic purposes phần 5', ngoại ngữ, ngữ pháp tiếng anh phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | 90 Ulla M. Connor et al. Morris and Schulz 1993 Vermeire et al. 2001 . Although over 200 variables have been examined with respect to their association with patient adherence we are still no closer to a clear understanding of the factors contributing to adherence Morris and Schulz 1993 Vermeire et al. 2001 . An additional issue with prior research is that the majority of studies have been conducted by practitioners who seek to understand how and why the patient fails to comply with orders issued by the physician Vermeire et al. 2001 . In other words much research has privileged the provider s perspective by focusing on the voice of medicine rather than on the voice of the patient s lifeworld Mishler 1984 Hamilton 2001 . Little research has taken the patient s perspective into account to try to understand what the patient s reasons and motivations for adherence or non-adherence may be. Patients thoughts attitudes motivations and behaviors are influenced by their social world their thoughts about their disease and their treatment and their relationships with others. Research that simply attempts to correlate patient or disease variables with adherence misses out on this complex intricate aspect of human behavior. It appears that decades of research on treatment adherence which have resulted in mixed inconclusive findings tell us that current methods of studying this phenomenon are inadequate. The complexity of human behavior renders an attempt to correlate hundreds of variables to adherence futile. As a result it is becoming increasingly apparent that an in-depth examination of patients perspectives on adherence with an effort to elicit their thoughts motivations and reasons for behavior might provide a clearer picture which will help us to understand the issue of treatment adherence. Clearly in spite of the numerous studies aimed at gaining a greater understanding of patient adherence the factors that impact this behavior are still poorly understood. A logical .

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