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Related Experiment Videos

Autonomy-based informed consent: ethical implications for patient noncompliance.

J A Coy1

  • 1Program in Physical Therapy, State University of New York Health Science Center, Syracuse, 13210.

Physical Therapy
|October 1, 1989
PubMed
Summary

Patient noncompliance in healthcare presents ethical challenges, moving beyond simple adherence issues. Understanding informed consent reveals that patient noncompliance is not always a problem to be solved by the patient.

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Area of Science:

  • Medical Ethics
  • Physical Therapy Practice
  • Patient Adherence Research

Background:

  • Patient noncompliance is a persistent challenge for healthcare professionals, including physical therapists.
  • Existing research often focuses on factors influencing noncompliance but overlooks critical ethical dimensions.
  • Common assumptions about noncompliance include viewing it solely as a patient problem requiring a compliance solution.

Observation:

  • Healthcare professionals frequently assume noncompliance is a problem inherent to the patient.
  • The ethical underpinnings of informed consent challenge these assumptions about patient noncompliance.
  • Instances of compliance are not inherently problem-free, and noncompliance does not always originate with the patient.

Findings:

  • Analysis of informed consent's moral foundations reveals problematic ethical assumptions regarding patient noncompliance.
Keywords:
Professional Patient Relationship

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  • The patient is not the sole locus of the noncompliance problem.
  • Compliance is not universally non-problematical, and noncompliance does not always require a 'solution' of compliance.

    • Implications:

    • Physical therapists encountering noncompliant patients must reconsider their ethical frameworks.
    • Understanding the moral basis of informed consent can improve therapist-patient communication, particularly with noncompliant individuals.
    • Ethical re-evaluation may lead to more nuanced approaches to patient adherence and therapeutic relationships.