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Related Experiment Video

Updated: May 31, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Adherence, shared decision-making and patient autonomy.

Lars Sandman1, Bradi B Granger, Inger Ekman

  • 1School of Health Sciences, University of Borås, Borås, Sweden. lars.sandman@hb.se

Medicine, Health Care, and Philosophy
|June 17, 2011
PubMed
Summary
This summary is machine-generated.

The shift from patient compliance to adherence emphasizes patient autonomy and shared decision-making. Understanding different adherence frames is crucial for assessing healthcare success and patient-provider interactions.

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Medical Ethics
  • Health Psychology
  • Decision Science

Background:

  • Patient compliance, once central, is now questioned for its paternalistic and narrow biomedical focus.
  • A paradigm shift towards 'adherence' highlights patient preferences and autonomy in treatment decisions.
  • The implications of this adherence paradigm for assessing healthcare outcomes remain underexplored.

Purpose of the Study:

  • To explore the relationship between shared decision-making, patient autonomy, and adherence.
  • To differentiate between dynamically and statically framed adherence.
  • To analyze how different shared decision-making models influence the assessment of adherence.

Main Methods:

  • Conceptual analysis of the adherence paradigm.
  • Distinction between dynamically and statically framed adherence.
  • Exploration of the implications for assessing patient adherence and healthcare interactions.

Main Results:

  • The chosen model of shared decision-making dictates whether dynamically or statically framed adherence is relevant.
  • Assessing healthcare decision-making and professional-patient interactions through adherence is complex.
  • Non-adherence is not inherently a problem within the adherence paradigm, unlike in the compliance model.

Conclusions:

  • The assessment of patient adherence must align with the specific shared decision-making model employed.
  • The adherence paradigm offers a more nuanced view of patient engagement than the compliance model.
  • Evaluating healthcare success requires a flexible approach to understanding patient adherence in relation to autonomy.