Dear Judith,
Actually, I just read in the "HABIT"(Health Behavior Information Transfer)
e-mail newsletter, the following mini-article which actually relates
specifically to your stomping grounds! Hope this helps.
Tasha
1. Physician: Comply Thyself: Looking at Adherence in New Ways
One of the most intractable problems in health care is helping people
comply, or -- in the more common parlance today -- adhere to recommended
treatments and behavior changes to manage existing health problems and
prevent new ones. Progress in improving adherence has been painstakingly
slow, but hope is not lost; researchers and clinicians are starting to look
at these issues in new ways.
A book recently published in Australia flips the issue of compliance on its
head by examining the culture of health professionals' work, rather than
recipients of care, as a central influence on non-compliance.
ěForgetting Compliance ń Aboriginal Health and Medical Cultureî by Kim
Humphery and Tarun Weeramanthri, with Joseph Fritz, critically reviews the
health sciences literature on patient compliance. The authors also analyze
the failure of more than 20 years of targeted research on compliance issues
to achieve significant improvements in treatment uptake.
The central focus of the book, however, is the analysis of interviews with
76 health care providers working in Aboriginal health in the Northern
Territory of Australia. Although the cultural context and geographical
settings in which these individuals provide care are unique, the
conclusions the authors draw are likely to have more general impact:
ěProvision and uptake of services are two sides of the same coin. If we are
to rethink compliance, we need to remake health services practices and
institutional arrangements. More radically, we need to forget compliance as
a ëproblem,í and see it as a natural marker of the differences (in values,
in power and in resources) between professional systems and clients.î
For information about how to order ěForgetting Compliance,î e-mail
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>The Tiwi Health Board (an Aboriginal Community Controlled Health Provider)
>are interested in examining the impact of health promotion strategies on
>medication compliance, specifically medications for the chronic diseases
>diabetes, hypertension, and renal impairment.
>
>I am interested to know if anyone has any experience with measuring
>compliance to treatment regimens (specifically relating to medications for
>chronic diseases) in indigenous populations, and if so, what measurement
>tools were used.
>
>Judith Oliver
>Consultant Pharmacist
>Tiwi Health Board
>Darwin, NT
>Australia.
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Natasha Beauchamp
Project Coordinator
ORegon Center for Applied Science, Inc. (ORCAS)
1839 Garden Ave.
Eugene, OR 97405
Tel: (541) 342-7227
Toll Free: (888) 349-5472
Fax: (541) 342-4270
mailto:[log in to unmask]
Website: http://www.orcasinc.com
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