The medical construction of compliance. Evidence based medicine. The lay perspective. The doctor-patient relationship. The medical consultation. Patient participation and shared decision making in the consultation. The informed and expert patient. Satisfaction. Conclusion.
"'A truly patient centred - and concordant - medical practice needs to start from a genuine professional awareness and understanding of the patient perspective. In particular, it should acknowledge the central importance of attending to the patient's experience of illness as an arbitrary and capricious manifestation of misfortune, rather than an occasion for the attribution of blame and personal irresponsibility. Only then will there be a chance for the reorientation of the professional preoccupation with non-compliance as a technical problem of defective patient behaviour towards an acceptance of the radical shift in underlying philosophy and culture that is required for the development of a genuinely concordant medical practice.' Kristian Pollock"
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