The problem of patient compliance

The problem of noncompliance is an increasing and vexing one. Major reasons for this dilemma include a growing skepticism concerning the ability and dedication of the health care industry, as well as a growing population of older people. A review of medical history reveals ancient attitudes toward compliance. There are special problems for special people, such as infants, children, adolescents, elderly persons, and those who are hostile or have a "sick" wish or "death" wish. Persons who require long-term therapy require special care. Child abuse and abuse of elderly persons may be involved. Problems of decreased visual acuity, color perception, and deafness must be dealt with on an individual basis. The responsibility of the physician, which includes nonobtrusive monitoring, is stressed. Consideration is given to the pharmaceutical industry and the role it can play to help mitigate the problem. In conclusion, anticipation of the problem and improved doctor-patient relationships will achieve desired results.