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T he first three chapters of this book rather dramatically present the over-whelming evidence that most patients do not usually follow most of their prescriptions and treatment recommendations. In theory this poses serious risks of ineffectiveness and harm—for example, rejection in transplant recipients because of insufficient immunosuppressant treatment. A huge amount of research has failed to find any good indicators for compliance. Perhaps most of the studies were too simple or lacked an adequate theoretical foundation, but the result today is that the expectation that a patient will “comply” is misplaced and that measures to improve compliance are based more on common sense or goodwill than on evidence. Alan J Christensen Yale University Press, £27.50, pp 165 ISBN 0 300 10349 2 yalebooks.com Rating:!Graphic1!Graphic2!Graphic3!Graphic4 Alan Christensen and his … 1: /embed/inline-graphic-1.gif 2: /embed/inline-graphic-2.gif 3: /embed/inline-graphic-3.gif 4: /embed/inline-graphic-4.gif
Emílio J. Sanz (2005) studied this question.