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Rheumatology 2006 45(1):1-5; doi:10.1093/rheumatology/kei223
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

EDITORIAL

‘Compliance’ is futile but is ‘concordance’ between rheumatology patients and health professionals attainable?

G. J. Treharne1,2, A. C. Lyons3, E. D. Hale2, K. M. J. Douglas2 and G. D. Kitas1,2

1 School of Psychology, University of Birmingham, Birmingham, 2 Department of Rheumatology, Dudley Group of Hospitals NHS Trust, Dudley, UK and 3 School of Psychology, Massey University, Auckland, New Zealand

Correspondence to: G. J. Treharne, School of Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK. E-mail: G.J.Treharne@bham.ac.uk

The first 150 words of the full text of this article appear below.

The extent to which patients take prescribed medications ‘as directed’ and why they do not have been important issues in health research for many decades [1] and subject to recent review [2–6]. These issues are important in rheumatic diseases, given the primary reliance upon medication to control symptoms and improve patients’ functional ability and longevity [7]. Not taking required medications can therefore have both a personal health impact and health-economics consequences [3]. In recent years patients have shown increased interest in their health-care; this is partially due to a boom in access to information technology coupled with increased health coverage in traditional media sources [8]. A fresh approach to medication prescribing is required, one that evolves away from the paternalistic approach of patient compliance or adherence towards the more recently introduced philosophy of patient–professional concordance.

Previous research has lacked consistent . . . [Full Text of this Article]


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