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Daftar isi
1. Medical adherence: Power to the people?...................................................................................................

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Dokumen 1 dari 1

Medical adherence: Power to the people?

Pengarang: Robison, Lenore Klopotoski.
Info publikasi: Temple University, ProQuest, UMI Dissertations Publishing, 2005. 3176845.
Link dokumen ProQuest
Abstrak: Since Hippocrates, health care providers have struggled with helping patients adhere to their
prescribed medication regimens. Adherence averages 50 percent across therapeutic categories and across
diseases, and is the single most important modifiable factor that compromises treatment outcomes.
Decades of behavioral research have failed to either identify the causes of medication non-adherence or impact
low adherence rates. In the current neoliberal atmosphere with its emphasis on an economy driven medical
marketplace and patient responsibility, medical protocol adherence takes on additional importance. Patients are
held accountable for both exacerbating and alleviating their health conditions and must accept blame for their
own illness and responsibility for their own care. Despite ideologies of personal empowerment, individuals'
abilities to exert control over their own lives are often profoundly limited by the restrictions placed on them by
the outside social and political power structures and the limitations of the biomedical megastructure. Medical
cost managers focus on the bottom line, and non-adherence leads to increased costs.
Ethnographic methods were used to study the medical adherence behaviors and motivations of a sample of
individuals who were currently taking antiretroviral medications for HIV/AIDS and were patients of an urban
health clinic, rather than the quantitative methods typically used to explore adherence behavior. This research
found that patient adherence behaviors were not simple, isolated behaviors but rather a group of complex,
purposeful, often thoroughly thought-out and, to these patients, logical responses to the their socio-cultural
positions and their roles within the biomedical environment. Through manipulating their medication adherence
behaviors patients triggered events that allowed them to assert power and influence over people and situations
in ways that were normally unavailable to them, permitting them to achieve important personal and social goals.
Patients make choices about their medication adherence and in this neoliberal environment manipulating
medication is an important patient tool that empowers patients in significant ways. This study suggests that
patients will find it hard to relinquish this tool unless they are empowered in their lives in some other significant
way.
Subjek: Cultural anthropology;
Klasifikasi: 0326: Cultural anthropology
Pengidentifikasi/kata kunci: Social sciences, Medical adherence, Power, Patient agency, Neoliberalism
Judul: Medical adherence: Power to the people?
Pengarang: Robison, Lenore Klopotoski
Halaman: 245 p.
Jumlah halaman: 245
Tahun publikasi: 2005
Tanggal gelar: 2005
Kode sekolah: 0225
Sumber: DAI-A 66/05, p. 1837, Nov 2005

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Tempat publikasi: Ann Arbor

Negara publikasi: United States
ISBN: 9780542161483, 0542161486
Pembimbing: Hyatt, Susan B
Universitas/institusi: Temple University
Lokasi universitas: United States -- Pennsylvania
Gelar: Ph.D.
Jenis sumber: Dissertations & Theses
Bahasa: Inggris
Jenis dokumen: Dissertation/Thesis
Nomor disertasi/tesis: 3176845
ID dokumen ProQuest: 305441623
URL Dokumen: http://search.proquest.com/docview/305441623?accountid=17242
Hak cipta: Copyright UMI - Dissertations Publishing 2005
Basis data: ProQuest Dissertations & Theses Full Text

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Daftar Pustaka
Citation style: Harvard - British Standard
ROBISON, L.K., 2005. Medical adherence: Power to the people?, Temple University.

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