ReviewThe Journal of medical humanities2007
"Compliance" to "concordance": a critical view.
Review in The Journal of medical humanities, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Level of adherence to prescribed exercise in spondyloarthritis and factors affecting this adherence: a systematic review.Rheumatology international · 2019Pooled it
- A new taxonomy for describing and defining adherence to medications.British journal of clinical pharmacology · 2012Pooled it
- Article
- Methodological Challenges for Epidemiologic Studies of Deprescribing at the End of Life.Current epidemiology reports · 2021Article
- "Getting the Knowledge Right": Patient Communication, Agency, and Knowledge.The Journal of medical humanities · 2018Article
- Important Design Features of Personal Health Records to Improve Medication Adherence for Patients with Long-Term Conditions: Protocol for a Systematic Literature Review.JMIR research protocols · 2018Article
- Translation and psychometric properties of the Chinese version of the Leeds Attitudes to Concordance II scale.BMC medical informatics and decision making · 2015Article
- What is patient adherence? A terminology overview.International journal of clinical pharmacy · 2014Article
- Conflict in medical co-production: can a stratified conception of health help?Health care analysis : HCA : journal of health philosophy and policy · 2012Article
- Person centred care and shared decision making: implications for ethics, public health and research.Health care analysis : HCA : journal of health philosophy and policy · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Advocates of "concordance" describe it as a new model of shared decision-making between physicians and patients based on a partnership of equals. "Concordance" is meant to make obsolete the notion of "compliance," in which patients are seen as, ideally, following doctors' orders. This essay offers a critical view of concordance, arguing that the literature itself on concordance, including materials at the web site of Medicines Partnership, the implementation arm in Great Britain of the concordance model, is full of contradiction; concordance, in fact, harbors an ideology of compliance. The essay suggests that an improvement in patient medication use will more likely come from a frank consideration of the relation of compliance issues and commercial ones, and that a key question across domains is, "how are patients/health agents/consumers persuaded to acquire certain drugs and take them as directed?"
Indexed as
Identifiers
17464451What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.