There is a hypochondriac who, just click the effect side, throws the drug in the dustbin. The old woman who relies on word of mouth of sciura Pina, mister know-it-all "who cares about the Internet, the anxious mother that" woe to give medicine to the infant, " someone with Alzheimer's forget that, what is wrong care, too little or - why not - too much.
disobey the doctor's expensive, and not just health. That 40 percent of patients who fail to comply with the requirements of specialists weigh on the pockets of the health system: according to experts, only € 8 million and 30 million in Lombardy in Italy. The estimate - which is hard to talk about exact figures - comes from Galeazzi, where he is planning a study to monitor the "compliance" that the patient's adherence to the instructions of your doctor. Question of complicity, then, that worries the experts. The problem, said Dr. Mauro Porta, head of the Center for extrapyramidal disorders and Tourette's Syndrome Group San Donato, has several facets: it starts by not adhering to the population at risk screening campaigns, we pass by poor adherence to the therapeutic indications of who is in hospital, up to taking the drug prescribed in GP surgeries. Most are disobedient, "they forget that the elderly, people with mental disorders and behavioral hypochondriacs and, in general, all patients with chronic diseases," which, oppressed by long-term treatment, "they tend to leave care easily. " In Lombardy, then, the infamous excellence of the health system in this case is a boomerang: "We are too many users and, therefore, great rush. The doctor does not devote sufficient time to those who have before, to give confidence and to understand what is the best way to make it "compliant". Or even just to verify that it can financially support the treatment prescribed. " Blame the specialists? Quite the opposite: patients think they know more "often use health DIY downloaded from the internet," the most naive "rely on word of mouth with the neighbor." For the Regional Councillor for Health Luciano Bresciani, while noting that the cost estimates do not come from Pirellone, "the problem is serious and there" but "since there's free choice and not being able to point a gun at his temple of the patient 'is not easy to solve.
The lack of compliance, in short, can not be resolved on the spot, but you can try to monitor independently and, therefore, to curb. "To measure the lack of adherence to treatment - says Professor Egidio Moja, Professor of Clinical Psychology at the Faculty of Medicine, State University - enough that the doctor asked the patient to the return of empty containers of drugs, or if there is, to claim greater attention from those who care for the sick. Addiruttura in some scientific studies, using jars fitted with chips that record the date and time where the product is recruited. But the problem is solved both before: 'It is necessary to improve the medical point of view of communication. We must understand the patient's attitude and opinion on the treatment and establish a relationship of trust, restoring credibility to the figure of the specialist. " In a word, complicity.
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