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The mental mechanisms of patient adherence to long-term therapies [electronic resource] : mind and care / Gérard Reach.

Pourquoi se Soigne-t-on, Enquête sur la Rationalité Morale de l'Observance. English

9783319122656 electronic book
3319122657 electronic book
9783319122649

Cham : Springer, 2015.

English

1 online resource (xxi, 207 pages) : illustrations

10.1007/978-3-319-12265-6 doi

R727.43

615.5

The goal of this book is to describe the mechanisms of patientsℓ́ℓ adherence to long-term therapies, whose improvement, according to the World Health Organization (WHO), would be more beneficial than any biomedical progress. For example, approximately half of the patients do not regularly follow medical prescriptions, resulting in deleterious effects on peopleℓ́ℓs health and a strong impact on health expenditure. This book describes how our beliefs, desires, and emotions intervene in our choices concerning our health, by referring to concepts developed within the framework of the philosophy of mind. In particular, it tries to explain how we can choose between an immediate pleasure and a remote rewardℓ́ℓpreserving our health and our life. We postulate that such an ℓ́ℓintertemporalℓ́ℓ choice can be directed by a ℓ́ℓprinciple of foresightℓ́ℓ which leads us to give priority to the future. Just like patientsℓ́ℓ non-adherence to prescribed medications, doctors often donℓ́ℓt always do what they should: They are non-adherent to good practice guidelines. We propose that what was recently described as ℓ́ℓclinical inertiaℓ́ℓ could also represent a case of myopia: From time to time doctors fail to consider the long-term interests of their patient. Both patientsℓ́ℓ non-adherence and doctorsℓ́ℓ clinical inertia represent major barriers to the efficiency of care. However, it is also necessary to respect patientsℓ́ℓ autonomy. The analysis of relationship between mind and care which is provided in this book sheds new light on the nature of the therapeutic alliance between doctor and patient, solving the dilemma between the ethical principles of beneficence and autonomy.

Includes bibliographical references and index.

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Online resource; title from PDF title page (SpringerLink, viewed January 28, 2015).

Philosophy and medicine ; 118.

Print version: 9783319122649

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