By M. Robin DiMatteo (auth.), David S. Gochman (eds.)

Volume 2 discusses the connection among sufferer and caregiver by way of structural and interactional determinants. The impression of supplier features on "compliance" and "adherence" is given particularly noteworthy remedy. each one quantity positive factors vast supplementary and integrative fabric ready by way of the editor, the designated index to the full four-volume set, and a word list of wellbeing and fitness habit terminology.

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Extra info for Handbook of Health Behavior Research II: Provider Determinants

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R. (1992). Patient non-compliance: Deviance or reasoned decision-making? Social Science and Medicine, 34(5),507-513. Eddy, D. (1990). Journal of the Amef' ican Medical Assoctation, 263(3), 441-443. Egbert, L. , Battit, G. , Welch, C. , & Bartlett, M. K. (1964). Reduction of postoperative pain by encouragement and instruction of patients. New England journal of Medicine, 270, 825-827. Eisenberg, ]. M. (1979). Sociologic influences on decisionmaking by clinicians. Annals of Internal Medicine, 90, 957-964.

Even when the physician's and the patient's goals coincide, the patient's goals are likely to be somewhat more complex and involve more psychosocial elements than the physician expects will be the case (Kleinman, 1988). While both may agree, for example, that pain should be relieved, the patient may also wish to remain alert and cognitively functional at work, as well as emotionally responsive at home. The phYSician's goal (to control the patient's pain) may be achieved quite easily with certain medications, but these medications may negate the patient's more complex goals.

Further, several Treatments studies have shown that patients are much more risk-averse than are their physicians and, when When providers make recommendations to given complete information, choose much more their patients for courses of health action, these conservative treatments than do their physicians recommendations typically involve a single course (O'Meara, McNutt, Evans, Moore, & Downs, 1994; of action (Wu & Pearlman, 1988). , 1978). This research strongly sug- man (1988) found that in over 100 observations of gests that decision making in medical care should procedures, ranging from injecting and giving involve shared responsibility for negotiating all oral medication to performing invasive diagnosaspects of a choice, including the type and tic procedures, physicians' communicated inforamount of risk that the physician and patient are mation about alternatives only 12% of the time.

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