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Related Concept Videos

Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Conformity01:20

Conformity

Conformity is the change in a person’s behavior to go along with the group, even if that person does not agree with the group.
Kendall's Coefficient of Concordance01:20

Kendall's Coefficient of Concordance

Kendall's Coefficient of Concordance (W), also known as Kendall's W, is a non-parametric statistical measure used to assess the agreement or concordance between multiple raters or judges when they rank a set of items. It is often used when you have ordinal data (ranks) and you want to see if there is consistency or consensus among the raters. It is widely applied in research areas such as psychology, medicine, and social sciences, where multiple judges are asked to rank or rate subjects or...
Correspondence Bias01:17

Correspondence Bias

Correspondence bias, also referred to as the fundamental attribution error, describes the tendency to attribute another person’s behavior to internal characteristics rather than situational influences. This cognitive bias leads individuals to overlook external factors that may be influencing actions, thereby fostering potentially inaccurate assessments of others’ intentions and dispositions.Empirical Evidence for Correspondence BiasResearch has consistently demonstrated the prevalence of...
Cognitive Dissonance01:38

Cognitive Dissonance

Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...

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Related Experiment Video

Updated: Jul 15, 2026

Assessment and Communication for People with Disorders of Consciousness
07:37

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

"Compliance" to "concordance": a critical view.

Judy Z Segal1

  • 1Department of English, University of British Columbia, Vancouver, BC, V6T 1Z1, Canada. jsegal@interchange.ubc.ca

The Journal of Medical Humanities
|April 28, 2007
PubMed
Summary

Concordance, a model for shared patient-physician decision-making, is critically examined. Despite aiming to replace patient compliance, research suggests concordance may still harbor compliance ideologies, highlighting commercial influences on medication use.

Related Experiment Videos

Last Updated: Jul 15, 2026

Assessment and Communication for People with Disorders of Consciousness
07:37

Assessment and Communication for People with Disorders of Consciousness

Published on: August 1, 2017

Area of Science:

  • Health policy and management
  • Patient-physician communication
  • Pharmaceutical marketing

Background:

  • The concept of 'concordance' emerged as a partnership model for shared physician-patient decision-making.
  • It aimed to replace the traditional 'compliance' model, where patients passively follow medical advice.

Purpose of the Study:

  • To critically evaluate the concordance model of shared decision-making.
  • To investigate the underlying ideology and potential contradictions within concordance literature and implementation.
  • To explore the influence of commercial factors on patient medication adherence.

Main Methods:

  • Critical analysis of existing literature on the concordance model.
  • Examination of materials from the Medicines Partnership, a UK-based implementation arm.
  • Exploration of the relationship between compliance, commercial interests, and patient drug acquisition/usage.

Main Results:

  • The literature on concordance contains inherent contradictions.
  • The concordance model may inadvertently perpetuate an ideology of compliance.
  • Commercial factors significantly influence how patients are persuaded to use medications.

Conclusions:

  • The concordance model, despite its intentions, may not fully resolve issues of patient adherence.
  • A deeper understanding of the interplay between commercial interests and patient medication-taking behavior is crucial.
  • Future improvements in patient medication use require addressing the commercial persuasion tactics influencing healthcare choices.