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Richard F. Gillum, MD; Arthur J. Barsky, MD

JAMA. 1974;228(12):1563-1567.

Abstract
Patient noncompliance with medical regimens is one of the major unsolved therapeutic problems confronting the medical profession today. Physicians have great difficulty identifying and dealing with noncompliers. A critical review of the literature has disclosed that the factors most consistently related to noncompliance are (1) psychological factors, (2) environmental and social factors, (3) characteristics of the therapeutic regimen, and (4) properties of the physician-patient interaction. Based on this information, a strategy for the improved diagnosis and management of noncompliance is feasible.

(JAMA 228:1563-1567, 1974)

Author Affiliations
From the National Center for Health Services, Research and Development, Rockville, Md. Dr. Gillum is now with the National Heart and Lung Institute, Bethesda, Md. Dr. Barsky is now with the Department of Psychiatry, Massachusetts General Hospital, Boston.

Footnotes
Reprint requests to 1836 Metzerott Rd No. 704, Adelphi, MD 20783 (Dr. Gillum).

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