September 28, 2009

Doctors dont always know best

A study of medication compliance was made in two Victorian TB clinics and those results were compared with estimates made by docotors, nurses and the patients;
Nonadherence is common and poorly predicted by doctors and nurses, even those with extensive experience in treating TB. Contrary to popular belief, patient self-report is more reliable than doctor or nurse assessment of nonadherence. As clinicians, asking patients about adherence may be more valuable than attempting to judge for ourselves.