Approaches for the Management of Non-Compliance in Patients with Chronic Illness

Authors

  • Stewart David Spence University of Ottawa

DOI:

https://doi.org/10.18192/uojm.v8i1.2305

Keywords:

Chronic management, non-compliance, PSIM

Abstract

Patients with chronic illnesses often require complicated care, characterized by frequent follow-ups, exacerbations, and alterations in treatment. Understandably, patient non-compliance is not an uncommon occurrence, and may significantly diminish the quality of health care received. This paper explores the current approaches to chronic illness management, including strategies to identify and reduce non-compliance, as well as the physician’s responsibilities in chronic illness management as guided by the CanMEDS roles. It also introduces a novel approach to the identification and management of non-compliance in patients with chronic illness: the Patient-System Interaction Model (PSIM).

References

1. Goldman L, Schafer AI. Goldman-Cecil Medicine. Vol 1. 25th ed. Philadelphia, PA: Elsevier/Saunders; 2016. 47-49 p.

2. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? E Clin Pract. 1998;1(1): 2-4.

3. Chowdhury HS, Cozma AI, Chowdhury JH. Essentials for the Canadian Medical Licensing Exam. 2nd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2016. 5-30 p.

4. Royal College of Physicians and Surgeons of Canada. CanMEDS Physician Competency Framework [Internet]. 2014 [cited March 03]. Available from: http://www.royalcollege.ca/rcsite/canmeds/canmeds-framework-e
The UOJM 8.1 cover depicts a heart valve replacement surgery, and draws a contrast between the fine movements of the surgeons’ hands and the tempestuous task below.

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Published

2018-05-07

Issue

Vol. 8 No. 1 (2018): Surgery and Transplantation

Section

Commentary

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