Este estudo analisa o processo terapêutico da Medicina Homeopática, destacando a relevância de seus componentes na construção de um espaço interativo entre médicos e pacientes, capaz de propiciar novos sentidos para a compreensão do adoecimento e para a perspectiva da cura. As questões que motivaram o trabalho surgiram a partir de preocupações a respeito da insuficiência do tecnicismo da medicina atual para atender às expectativas dos sujeitos participantes das práticas de saúde. Discutimos que a centralidade da pessoa, no paradigma da Medicina Homeopática. ao privilegiar a situação de adoecimento dos pacientes, confere características específicas à sua abordagem, capazes de resgatar a dimensão do cuidado na ação terapêutica. Tomamos, como base empírica, duas unidades de saúde da cidade de São Paulo, onde foram realizadas entrevistas com médicos e pacientes, e colhidos depoimentos espontâneos que surgiram durante o atendimento clínico da autora. O material obtido foi trabalhado qualitativamente e permitiu identificar certos núcleos de sentidos, tais como, St~jeito, Pessoa, E-;cuta, Ver. Vinculo, Tempo, Cura e Medicamento, capazes de refletirem as dimensões essenciais, que traduzem a especificidade do processo terapêutico da Homeopatia. Através das narrativas de sujeitos da prática homeopática, pudemos evidenciar que a construção de um espaço de intersubjetividade, em que pacientes e médicos possam compartilhar a experiência do adoecer, permite introduzir a perspectiva do cuidado e a possibilidade de um projeto de recuperação da saúde. Tais aspectos foram considerados, ao buscarmos compreender a efetividade da Homeopatia, como prática terapêutica. Um desdobramento relevante deste estudo pode ser a análise dos fundamentos da legitimidade da Medicina Homeopática nas práticas de saúde, segundo critérios que preservem a identidade de sua episteme. / This study analyses the therapeutic process of Homeopathic Medicine. It highlights the relevance o f the components o f homeopathy in the construction o f an interactive setting between doctors and patients capable of providing the process o f becoming ill and the perspective o f cure with new meanings. Concems with respect to the insufficiencies of contemporary technological medicine in attending to the expectations and demands of subjects participating in health practices were the issues that motivated this research. The central position occupied by the person in the paradigm of Homeopathic Medicine is discussed. By granting a privileged position to the situation of becoming ill, specific characteristics are conferred to the approach in question, which enable it to redeem the dimension o f care to therapeutic action. Two health units in Sao Paulo City constitute the empírica! basis for the present study. Interviews with doctors and patients were carried out there, as well as clinicai consultations conducted by the author during the course of which spontaneous statements also emerged and were recorded. The material obtained was submitted to a qualitative analysis which led to the identification of certain nuclei of meaning such as, Subject, Person, Hearing, Looking, Bond, Time, Cure, Medication, capable of reflecting essential dimensions which translate the specificity ofthe homeopathic therapeutic process. The narratives of the subjects involved in homeopathic practice document the construction of an intersubjective setting, where patients and doctors may share the experience of becoming ill. Within this setting, it is possible to introduce the perspective of care and the possibility o f a project o f health recuperation. These aspects were taken into consideration when we strove to comprehend the effectiveness of homeopathy as a therapeutic practice. One of the relevant extensions of this project may be the analysis of the basis of legitimacy of Homeopathic Medicine on health care practices through criteria that preserve the identity of its epistemic.

Thesis advisor: Judith A. Vessey / This undergraduate thesis explores the underlying problem of interprofessional conflict and the resulting poor communication between physicians and nurses. It establishes the importance of understanding and addressing this subject within the health care community on a basis of reported negative outcomes, including compromised patient safety and quality of care. It also proposes a preventive health model as the most effective approach to describing the problem. An exploration of the antecedents to this interprofessional conflict identifies gender identity as having a significant role in setting the stage for the kind of relationships between nurses and physicians that harbor tension. Gender roles are discussed in the context of the developing professional identities of both physicians and nurses. The discussion further identifies how these social and professional distinctions result in the imposition of hierarchical arrangements that give way to oppressive relationships. The analysis proposes a need for dialogue –a form of primary prevention- regarding the oppressive internalized sexism that appears to have resulted from this hierarchical evolution. / Thesis (BS) — Boston College, 2010. / Submitted to: Boston College. Connell School of Nursing. / Discipline: College Honors Program.

Thesis advisor: Donald Cox / I investigate the effect of the medical brain drain on health in sub-Saharan Africa. Such information would be invaluable to policymakers; if doctors are likely to emigrate, there is little benefit in investing in their training. Previous work has mostly been limited to measuring correlations, which fail to illuminate causal pathways; countries with weakly structured healthcare systems may have both poor health and high physician emigration. I address the problem with an instrumental variable. For African countries with historic colonial ties to the United Kingdom or France, I used immigration policy changes in these European nations to instrument for the medical brain drain. Higher rates of medical brain drain cause decreased physician density, decreased rates of measles immunizations among children, and increased rates of HIV prevalence in sub-Saharan Africa. Therefore, I conclude that targeting physician emigration would help improve health in the region. / Thesis (BA) — Boston College, 2013. / Submitted to: Boston College. College of Arts and Sciences. / Discipline: College Honors Program. / Discipline: Economics Honors Program. / Discipline: Economics.

Este trabalho apresenta um estudo exploratório do tipo transversal sobre a relação das doenças crônicas e o uso da tecnologia nuclear. O aumento na prevalência das doenças crônicas nos países em desenvolvimento é preocupante e devem ser avaliados cuidadosamente dentro das sociedades, organizações e seus indivíduos. Os avanços tecnológicos vivenciados nas últimas décadas, em especial, na área da tecnologia nuclear criam expectativas para lidar com o desafio das doenças de modo mais eficiente. Entretanto, pouco foi explorado sobre esse tema por um prisma dos agentes médicos que compõem esse sistema de relações entre a doença e a tecnologia. A necessidade de planejamentos públicos e privados para lidar com essa problemática podem se beneficiar de uma avaliação inicial sobre um tema ainda emergente, mas que deverá compor a agenda de planejamento em saúde e tecnologia nos próximos anos. Por meio de uma metodologia mista, composta por abordagem qualitativa e quantitativa buscou-se configurar e revelar as importantes dimensões sobre o tema dessa pesquisa. A pesquisa de campo foi composta tanto de entrevistas analisadas através de técnicas da teoria fundamentada e também de questionários enviados via web analisados estatisticamente através da análise fatorial exploratória. Tais empreendimentos permitiram revelar dimensões que compõem a percepção entre a doença crônica e o uso da tecnologia nuclear. Essas dimensões apresentadas na forma de um constructo teórico foram então discutidas de um ponto de vista da teoria social e de inovação tecnológica. / This research is an exploratory cross-sectional study about the relationship of chronic disease and the use of nuclear technology. There is a concern over the increase of the prevalence of chronic disease in developing countries and it should hence be carefully evaluated in the context of societies, organizations and individuals. The technological advances experienced in the last decades especially in the nuclear technology area have created expectations to deal more efficiently with the challenge of chronic diseases. However little has been explored in this area under the point-of-view of medical doctors as agents who make this system of relations between disease and technology. The necessity for public and private planning to deal with this set of problems can benefit through an initial evaluation about the forthcoming theme, but should incorporate the agenda of health and technology planning for the following years. Using mixed methodology, made up of qualitative and quantitative approach, this research sought to reveal and configure important dimensions around the theme of this study. The field research was made up of interviews analyzed using techniques of fundamental theory and also of questionnaires sent by web analyzed statistically using exploratory factor analysis. These ventures allowed dimensions to be revealed that make up the perception of chronic disease and the use of nuclear technology. These dimensions presented in a form of a theoretical construct that were then discussed under the point of view of social theory and technological innovation.

The rural health physician narrative is one of the most understudied genres in non-fictional Appalachian literature. Physician narratives are significant in the historical, social, and political contexts of twentieth-century Appalachian representation. These accounts provide insight into the social contexts in which physicians lived as they wrote about healthcare and Appalachian communities. New Historicism is an analytical tool used to better understand the complexity surrounding Appalachian representation, particularly in terms of the politics of representation, gender, and race that influenced these narratives in the twentieth century. I engage in close readings of narratives written by or about rural health physicians who practiced in Appalachian communities during the early and mid-twentieth century. The physicians include Drs. Mary Martin Sloop, Gaine Cannon, A.W. Roberts, and Anne A. Wasson. I provide a nuanced discussion of the emergence and reiteration of Appalachian stereotypes in physician narratives and consider the lessons they provide for current physicians.

Use of the Internet can increase patients' understanding about their medical conditions and offers opportunities to strengthen the patient-physician relationship, increase patient satisfaction, and improve health outcomes. However, physicians vary widely in the extent to which they accept patient online medical information seeking and make it part of the patient-physician relationship. This paper explores factors impacting the extent to which physicians advocate (encourage, speak in favor, or are supportive of) patient internet use. Specifically, using social cognitive theory as a theoretical base, this study develops a model of the determinants of physician advocation of patient use of the internet for information about medical conditions and treatments. Survey data collected from a random sample of 179 physicians licensed to practice medicine in Florida is used to test the proposed model. Proxy efficacy for patient internet use, social efficacy for enlisting patient internet use, performance outcomes expectations, and personal outcome expectations are shown to be significant determinants of physician professional advocation of patient internet use. In addition to its direct impact, proxy efficacy is shown to influence intention to advocate patient internet use indirectly thru social efficacy and outcome expectations, demonstrating the key role of this construct in the proxy agency model. Self-efficacy, in contrast, is not found to be a significant factor. Overall, the results support the proposed model of technology use. / by Neil Morton. / Thesis (Ph.D.)--Florida Atlantic University, 2009. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2009. Mode of access: World Wide Web.

Health care today harms too frequently and routinely fails to deliver its potential benefits. Significant evidence suggests that high quality primary care can positively affect health outcomes. I explored three related topics mentioned frequently in current United States health reform €“ Electronic Health Records (EHR), physician profiling and Medical Home. An investment in these areas is expected to significantly improve quality of care and efficiency; however, there is only a patchwork of evidence supporting such claims. To achieve EHR promises, my research employed a standardization lens to study the dynamics between EHR embedded structures and primary care processes. Using grounded theory, a standardization dynamics model was created describing the influencers, conditions and consequences of the process state. A matrix of two conditions, information exchange and patient complexity, identified four distinct pathways that require a different balance between standardization and flexibility. The value of such pathways is that they frame choices about how to use embedded IT structures to support effective delivery processes. Physician profiling is an emerging methodology used in health care quality improvement programs. Efforts to measure performance at the individual physician level face a number of challenges, including the need for sufficient sample size to support reliable measurement. A process for creating a physician profiling model was developed, and a model designed for a case study site. Results indicate that reliable physician profiling is possible across care domains using a hierarchical composite model. Patient-Centered Medical Home (PCMH) is a new care delivery approach for providing comprehensive primary care that seeks to strengthen the physician-patient relationship. This exploratory study utilizes Pearson correlation coefficients to test four hypotheses about relationships between two sources of data: (1) PPC-PCMH Survey results that measure adoption of PCMH structures and (2) patient experience data from Massachusetts Health Quality Partners (MHQP). The results showed that the PPC-PCMH structures of access and communication were negatively correlated with the related patient experience measure. This study contributes to the literature by addressing deficiencies in how EHR-enabled processes, physician profiling models and Medical Home constructs are measured, to support improved outcomes.

Patient engagement has become a widely used term, but remains a poorly understood concept in healthcare. Citations for the term during the past two decades have increased markedly throughout the healthcare-related disciplines without a common definition. Patient engagement has been credited for contributing to improved outcomes and experiences of care. Means of identifying and evaluating practices that facilitate patient engagement in care have become an ethical imperative for patient-centered care. This process begins with a definition of the concept. Concept analysis is a means of establishing a common definition of a concept through identification of its attributes, antecedents and consequences within the context of its use. Concept analysis is a methodology that has been used in social science and nursing as a means to resolve conceptual barriers to theory development in an evolving field. The methodological theory was based in the analytic philosophical tradition and sustained during the 20th century by the strength of philosophical positivism in the health sciences. This concept analysis is guided procedurally by Rogers’ evolutionary approach that incorporates postmodern philosophical principles and well-defined techniques. This dissertation is informed by the expanded and updated perspective of the neomodern era in nursing research, which advances the concept analysis methodology further. An analysis of the concept underlying the term patient engagement in the scientific literature revealed four defining attributes: personalization, access, commitment and therapeutic alliance. These defining attributes were derived through thematic analysis of over 100 individual attributes shared among six categories and three domains. The resultant definition revealed that patient engagement is both process and behavior shaped by the relationship between patient and provider and the environment where healthcare delivery takes place. Patient engagement is defined as the desire and capability to actively choose to participate in care in a way uniquely appropriate to the individual, in cooperation with a healthcare provider or institution, for the purposes of maximizing outcomes or improving experiences of care. In addition to the attributes of the concept identified in the literature, themes relevant to patient engagement were identified through inputs from six focus groups of persons living with HIV in New York City. The focus group participants were convened to inform the development of a mobile application designed to support their healthcare needs. Their experiences, insights and expectations were valuable in ascertaining those actions or behaviors that may serve to assist the patient in obtaining and adhering to care. The focus group transcripts were coded twice. The first round occurred prior to the concept analysis of the literature and used emergent coding methodology to capture meanings independent of the findings of the concept analysis. The second round occurred after the concept analysis of the literature and used the resultant attributes to perform a directed concept analysis of the transcripts. The content analyses of the transcripts from the patient perspective supported and reinforced the attributes from the concept analysis. The focus groups also highlighted another important aspect of patient engagement, that of privacy/confidentiality, which had not been specifically addressed in the concept analysis of the literature. The definition and the identified attributes serve as a heuristic in designing patient engagement strategies and as a basis for future development of the engagement concept in healthcare. The supporting concepts for engagement, especially the role of empathy in the therapeutic alliance, require further clarification and debate. While patient engagement may be promoted through face-to-face interactions or through health information technology, the defining attributes are invariable and should guide the design of engagement processes and tools. Finally, the value of understanding and exploring the defining attributes of patient engagement in medical and nursing education becomes clear, as is the need for continuing clinical training to support and encourage patient engagement skills.

Essa tese se constitui em uma reflexão crítica que contempla o desemprego do mercado de trabalho formal dos trabalhadores brasileiros e argentinos e sua passagem para o emprego/ocupação na informalidade. Além disso, diagnosticamos, por meio de depoimentos, os efeitos da mudança de emprego sobre a saúde física e mental do grupo de trabalhadores que participou deste estudo. Investigamos também a visibilidade e eficácia dos programas públicos de emprego e saúde dos dois países. Desenvolvemos um conjunto de reflexões teóricas versando sobre as mudanças do mercado de trabalho e o novo padrão de desenvolvimento capitalista, e o processo de informalidade e as razões que levam à inserção dos trabalhadores no mercado de trabalho informal e suas conseqüências sociais. Conceituamos saúde, saúde física e mental, promoção da saúde e trabalho para analisar as políticas públicas e suas influências na saúde dos cidadãos. Caracterizamos e analisamos o complexo saúde/trabalho/informalidade/inseguridade social na Argentina e no Brasil. Através de Sondagem, traçamos o perfil de ex-empregados do mercado de trabalho formal que hoje estão empregados/ocupados na informalidade, e verificamos os agravos na saúde física e mental dos trabalhadores. Dentre os resultados alcançados, destacamos os seguintes: o trabalhador se sente inseguro por estar à margem do Sistema Público de Seguridade Social; a demissão produz um impacto nitidamente marcante sobre a saúde física e mental do trabalhador imediatamente após a sua concretização; os sintomas/sentimentos mais citados derivados da demissão e da passagem para a informalidade são inapetência, insônia, tensão nervosa, paranóia, medo, depressão, aumento na agressividade, sentimentos de impotência psíquica, medo do futuro, desesperança, tristeza, raiva, dores de cabeça e dores de estomago, entre outros. Além disso, constatamos a presença freqüente de distúrbios nas relações interpessoais, com reflexo acentuado na família do ex-empregado; a condição de informalidade, por estar associada à inseguridade social, contribui de forma significativa para o sentimento de desamparo do ex-empregado; a maioria dos trabalhadores acredita que o governo deva criar mecanismos que possibilitem enfrentar a condição de inseguridade social na qual vivem. Diagnosticamos também elementos que podem levar ao questionamento e aprimoramento de programas públicos de emprego e saúde, com o objetivo de torná-los operacionais e eficazes. A principal diferença de comportamento observada entre os trabalhadores argentinos e brasileiros da amostra, refere-se à auto-estima, estrutura emocional com maior resistência para suportar cargas emocionais, consciência política e social e formação educacional. / Esta tesis se constituye en una reflexión crítica que contempla el desempleo en el mercado de trabajo formal de los trabajadores brasileños y argentinos y su pasaje para el empleo/ocupación informal. Además, diagnosticamos, por medio de declaraciones, los efectos del cambio de trabajo sobre la salud física y mental del grupo de trabajadores que participaron de este estudio. Investigamos también la visibilidad y eficacia de los programas públicos de empleo y salud de los dos países. Desarrollamos un conjunto de reflexiones teóricas versando sobre los cambios del mercado de trabajo y el nuevo patrón de desarrollo capitalista; y el proceso de informalidad y las razones que llevan a la inserción de los trabajadores en el mercado de trabajo informal y sus consecuencias sociales. Conceptuamos salud, salud física y mental, promoción de la salud y trabajo para analizar las políticas públicas y sus influencias en la salud de los ciudadanos. Caracterizamos y analizamos el complejo salud /trabajo/informalidad/inseguridad social en Argentina y en Brasil. A través de Sondeo, trazamos el perfil de ex empleados del mercado de trabajo formal que hoy están empleados/ocupados en la informalidad, y verificamos los daños en la salud física y mental de los trabajadores. Entre los resultados alcanzados, destacamos los siguientes: el trabajador se siente inseguro por estar al margen del Sistema Público de Seguridad Social; el despido produce un impacto nítidamente marcante sobre la salud física y mental del trabajador inmediatamente después de que se concreta; los síntomas/sentimientos más citados derivados del despido y del pasaje para la informalidad son inapetencia, insomnio, tensión nerviosa, paranoia, miedo, depresión, aumento de la agresividad, sentimientos de impotencia psíquica, miedo del futuro, desesperanza, tristeza, rabia, dolores de cabeza y dolores de estómago, entre otros. Además, constatamos la presencia frecuente de disturbios en las relaciones interpersonales, con reflejo acentuado en la familia del ex empleado; la condición de informalidad, por estar asociada a la inseguridad social, contribuye de forma significativa, para el sentimento de desamparo del ex empleado; la mayoría de los trabajadores cree que el gobierno debe crear mecanismos que posibiliten enfrentar la condición de inseguridad social en la que viven. Diagnosticamos también elementos que pueden llevar al cuestionamiento y perfeccionamiento de programas públicos de empleo y salud, con el objetivo de volverlos operacionales y eficaces. La principal diferencia de comportamiento observada entre los trabajadores argentinos y brasileños de la muestra se refiere a: autoestima, estructura emocional con mayor resistencia para soportar cargas emocionales, conciencia política y social

Wu Yan Fei. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (leaves 161-189). / Abstracts in English and Chinese. / Chapter 1. --- BACKGROUND --- p.1 / Chapter 1.1 --- Hong Kong health care system --- p.1 / Chapter 1.2 --- Medication compliance and treatment responses --- p.2 / Chapter 1.3 --- Definition of compliance --- p.5 / Chapter 1.3.1 --- Compliance --- p.5 / Chapter 1.3.2 --- Adherence --- p.6 / Chapter 1.3.3 --- Concordance --- p.7 / Chapter 1.4 --- Definitions of satisfactory compliance --- p.9 / Chapter 1.5 --- Importance of compliance --- p.10 / Chapter 1.6 --- Non-compliance as a behavioral disease --- p.12 / Chapter 1.6.1 --- Disease manifestation (Patterns of non-compliance) --- p.12 / Chapter 1.6.2 --- Prevalence/Epidemiology (Rate of non-compliance) --- p.14 / Chapter 1.6.3 --- Diagnosis (Detecting non-compliance) --- p.15 / Chapter 1.6.3.1 --- Direct methods --- p.16 / Chapter 1.6.3.1.1 --- Use of biological fluids --- p.17 / Chapter 1.6.3.1.2 --- Biological surrogate (Drug) markers --- p.18 / Chapter 1.6.3.1.3 --- Pharmacological indicators --- p.20 / Chapter 1.6.3.2 --- Indirect methods --- p.22 / Chapter 1.6.3.2.1 --- Self-report / Direct questioning --- p.24 / Chapter 1.6.3.2.2 --- Pill counts --- p.25 / Chapter 1.6.3.2.3 --- Diaries --- p.27 / Chapter 1.6.3.2.4 --- Electronic monitoring --- p.27 / Chapter 1.6.3.2.5 --- Physician estimates --- p.31 / Chapter 1.6.3.2.6 --- Outcome measurement and clinical judgment --- p.32 / Chapter 1.6.3.2.7 --- Presence of side effects --- p.33 / Chapter 1.6.3.2.8 --- Keeping of appointments --- p.34 / Chapter 1.6.3.2.9 --- Prescription refill rates --- p.34 / Chapter 1.6.3.3 --- Direct observation --- p.35 / Chapter 1.6.3.4 --- The ideal detection method --- p.36 / Chapter 1.6.4 --- Risk factors (Related factors of non-compliance) --- p.37 / Chapter 1 .6.4.1 --- Patient related factors --- p.37 / Chapter 1.6.4.1.1 --- Understanding and comprehension --- p.37 / Chapter 1.6.4.1.2 --- Health beliefs --- p.39 / Chapter 1.6.4.1.3 --- Socio-demographic factors --- p.44 / Chapter 1.6.4.1.4 --- Forgetfulness --- p.45 / Chapter 1.6.4.2 --- Illness --- p.46 / Chapter 1.6.4.3 --- Therapeutic regimen --- p.46 / Chapter 1 .6.4.4 --- Patient-practitioner relationship --- p.48 / Chapter 1.6.5 --- Treatment (Interventions) --- p.50 / Chapter 1.6.5.1 --- Education --- p.51 / Chapter 1.6.5.2 --- Dosing regimen planning --- p.55 / Chapter 1.6.5.3 --- Clinic scheduling --- p.57 / Chapter 1.6.5.4 --- Communication --- p.57 / Chapter 1.6.6 --- Intelligent non-compliance --- p.60 / Chapter 1.6.7 --- Overview of problems with compliance studies --- p.63 / Chapter 1.6.7.1 --- Complex and not effective --- p.64 / Chapter 1.6.7.2 --- Lack theoretical framework --- p.64 / Chapter 1.6.7.3 --- Fragmented studies --- p.65 / Chapter 1.6.7.4 --- Lack high quality compliance study --- p.66 / Chapter 1.6.7.5 --- Without long term follow up --- p.67 / Chapter 1.6.7.6 --- Correlation between compliance and desired therapeutic outcomes --- p.68 / Chapter 2 --- HYPOTHESIS AND OBJECTIVES --- p.71 / Chapter 3 --- METHODS --- p.75 / Chapter 3.1 --- Study design --- p.76 / Chapter 3.2 --- Outcome measures --- p.80 / Chapter 3.3 --- Statistical analysis --- p.81 / Chapter 3.4 --- Power analysis --- p.82 / Chapter 4. --- RESULTS --- p.85 / Chapter 4.1 --- Patient demographics --- p.85 / Chapter 4.2 --- Clinic attended and drug usage --- p.85 / Chapter 4.3 --- Non-compliant rates and its patterns --- p.86 / Chapter 4.4 --- Reasons for non-compliance --- p.86 / Chapter 4.5 --- Relationship between drug class and medication compliance --- p.86 / Chapter 4.6 --- Relationship between dosage frequency and medication compliance --- p.87 / Chapter 4.7 --- Clinical characteristics of compliant and non-compliant patients --- p.87 / Chapter 4.8 --- Comparison of non-compliant patients identified at baseline during the second reassessment --- p.88 / Chapter 4.9 --- Effects of pharmacist's telephone intervention on tertiary outcomes --- p.88 / Chapter 4.9.1 --- Medication compliance --- p.88 / Chapter 4.9.2 --- Blood pressure --- p.89 / Chapter 4.10 --- Effects of pharmacist's telephone intervention on secondary outcomes --- p.90 / Chapter 4.11 --- Primary end-points of compliant versus non-compliant patients --- p.91 / Chapter 4.12 --- Best predictors of mortality rate for the studied population --- p.92 / Chapter 4.13 --- Effects of pharmacist's telephone intervention on primary outcomes --- p.92 / Chapter 4.14 --- Clinical characteristics of non-compliant patients with / without second follow up --- p.93 / Chapter 4.15 --- Clinical outcomes of defaulted patients at the second visit --- p.93 / Chapter 5. --- DISCUSSION --- p.126 / Chapter 5.1 --- Study design --- p.126 / Chapter 5.2 --- Compliance assessment method --- p.126 / Chapter 5.3 --- Patient demographics and drug prescribing pattern --- p.128 / Chapter 5.4 --- Extent and pattern of non-compliance --- p.128 / Chapter 5.5 --- Reasons for non-compliance --- p.129 / Chapter 5.5.1 --- Lack of knowledge --- p.129 / Chapter 5.5.1.1 --- Dosing instructions --- p.129 / Chapter 5.5.1.2 --- Drug identification --- p.130 / Chapter 5.5.1.3 --- Storage --- p.131 / Chapter 5.5.2 --- Forgetfulness --- p.131 / Chapter 5.5.3 --- Problems with health beliefs --- p.132 / Chapter 5.5.3.1 --- Common myths or misconceptions --- p.132 / Chapter 5.5.4 --- Presence of side effects --- p.133 / Chapter 5.6 --- Predictability of non-compliance --- p.134 / Chapter 5.6.1 --- Socio-demographics --- p.134 / Chapter 5.6.2 --- Polypharmacy --- p.135 / Chapter 5.6.3 --- Dosing frequency --- p.137 / Chapter 5.6.3.1 --- "Little difference between daily, twice daily and thrice daily dosing." --- p.137 / Chapter 5.6.3.2 --- Importance of drug property in determining the impact of usual dosages --- p.138 / Chapter 5.6.3.3 --- The impact of missed dosage on clinical condition --- p.139 / Chapter 5.6.3.4 --- Practical issues regarding dosing frequency --- p.140 / Chapter 5.6.4 --- Drug Profiles --- p.141 / Chapter 5.7 --- Outcomes measure --- p.142 / Chapter 5.8 --- The role of pharmacist in chronic care --- p.147 / Chapter 5.9 --- The role of physician in chronic care --- p.155 / Chapter 5.10 --- Possible sources of bias and limitations --- p.156 / Chapter 5.11 --- Further studies --- p.156 / Chapter 5.12 --- Concluding remarks --- p.159 / Chapter 6. --- REFERENCES --- p.161 / Chapter 7. --- APPENDICES --- p.190