UncooperativePatientsNeedPsychologicalTherapy
Byrefusingtotakeessentialmedicationafterakidneytransplant,a49-year-oldwomandrivesherdoctorsandnursestodistraction—tonoavail,becausetheorganhasintheendtoberemoved____(1)_____Patientsrefusingtocooperatewithmedicalprofessionalscausedamagenotonlytothemselvesbutalsoimposesubstantialcostsonthecommunity.ThepharmaceuticalcompanyGlaxoWelcomeestimatesthecoststotheGermantaxpayersofthiskindofnegativebehaviourataroundfivebilliondollarsayear.
Arecentconferenceofmedicalprofessionals,healthinsurers,thepharmaceuticalindustryandpatientrepresentativesrevealedawiderangeoffactorsbehindnon-compliance.Notalldefiantbehaviourinapatientcanbecharacterizedasnon-compliance.Greaterstressshouldbeplacedonpsychologyduringmedicaltraining,delegatessaid.____(2)_____PsychologistSibylleStorkebaumtoldofaneight-year-oldboywhoranamokinahospitalbeforeundergoingahearttransplant,threateningtoripouthisdriptubes.____(3)_____“Doctorsandnursesfailedtoseethattheyhaddowngradedaboyalreadyconsciousofhisownresponsibilitiesintoasmallchild,”Storkebaumsaid,explainingthattheboymerelywantedtobetakenseriouslyandtobeinvolvedinhisowntreatment.“Oncethiswasacknowledged,theangerattackssubsided.____(4)_____”Jan-TorstenTewsofGlaxoWelcomehighlightedtheproblemofexcessivemedication,withpatientshavingtotakeawiderangeofmedicinesatshortintervals.Educatingpatientsandself-managementwerethekeytotreatingpatientswithchronicconditions,hesaid.
Healthinsurersalsoexpressedinterestsinbettercooperationbetweendoctorandpatient.“Thefactthatnon-complianceexistsisaresultofpatientdissatisfactionwiththeirtreatment,”WalterBockemuehl,aseniorexecutiveinthestatutorymedicalinsurancescheme.said.Accordingtoonestudy,halfofallpatientsdidnotwantmedication,buthaddrugsprescribednevertheless.____(5)_____
00-A.However,therearestillsomemedicalprofessionalswhodon''tbelieveinpsychologicaltherapy.
4----B.Hebecamenoticeablyquieterandturnedintoagoodpatient.
5----C.“Inthesecasesweshouldnotbesurprisediftheadviceisignored,”hesaid.
1--D.Thiscaseofmedicalnon-complianceisnotanisolatedexample.
2----E.Therewasevidencethatpsychologicaltherapyforinsecurepatientscouldimprovecooperationbetweendoctorsandpatients,theyadded.
3--F.Hisfitsofrageweresubsequentlyseenasanattempttoasserthisrightsasapatient.
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