How can we accept that we should stop smoking, adhere to diet, exercise or take medication? The aim of this book is to describe the mechanisms of patient adherence to long-term therapies, which the World Health Organisation (WHO) believes would benefit more than any biomedical advances. For example, about half of patients do not adhere to medication regularly, which has a detrimental effect on people's health and a strong impact on health expenditure. This book describes how our beliefs, desires and emotions influence our choices about our health, referring to concepts developed within the philosophy of mind. In particular, it attempts to explain how we can choose between immediate pleasure and distant reward - preserving our health and life. We postulate that such an 'in-between' choice may be guided by a 'foresight principle' that leads us to prioritise the future. Like patients' non-adherence to prescribed medicines, doctors often do not always do what they should: fail to follow good practice guidelines. We suggest that what has recently been described as 'clinical inertia' may also be a case of myopia: from time to time, doctors fail to consider the long-term interests of their patients. Both patient non-compliance and clinical inertia on the part of doctors are major obstacles to effective care. However, it is also necessary to respect patient autonomy.<\/p>","protected":false},"excerpt":{"rendered":"
Jak mo\u017cemy zaakceptowa\u0107 fakt, \u017ce powinni\u015bmy rzuci\u0107 palenie, przestrzega\u0107 diety, \u0107wicze\u0144 fizycznych lub przyjmowa\u0107 leki? Celem tej ksi\u0105\u017cki jest opisanie mechanizm\u00f3w przestrzegania przez pacjent\u00f3w terapii d\u0142ugoterminowych, kt\u00f3rych poprawa, zdaniem \u015awiatowej Organizacji Zdrowia (WHO), by\u0142aby korzystniejsza ni\u017c jakikolwiek post\u0119p biomedyczny. Na przyk\u0142ad oko\u0142o po\u0142owa pacjent\u00f3w nie stosuje regularnie zalece\u0144 lekarskich, co ma szkodliwy wp\u0142yw na zdrowie […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-4960","post","type-post","status-publish","format-standard","hentry","category-publikacje-zagraniczne"],"yoast_head":"\n