Noncompliance in end-stage renal disease: A threat to quality of care and cost containment

被引：12

作者：

Brickman, AL

Yount, SE

机构：

[1] University of Miami, School of Medicine, Miami, FL

[2] Department of Psychiatry and Behavioral Science (D-79), University of Miami, School of Medicine, Miami, FL 33136-1032

来源：

JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 1996年 / 3卷 / 04期

关键词：

noncompliance; kidney transplantation; cognitive-behavioral intervention; end-stage renal disease; psychosocial factors; medical utilization;

D O I：

10.1007/BF01994022

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Noncompliance to treatment regimen after kidney transplantation is a threat to health outcomes and cost containment. Although there are methodological challenges to obtaining reliable compliance data, the results of noncompliance are increased morbidity and mortality in posttransplant patients. In addition, recent research suggests that patients who incur repeated rejection episodes leading to graft failure have higher levels of medical utilization. Some psychosocial factors related to compliance and medical utilization are potentially modifiable through cognitive-behavioral intervention.

引用

页码：399 / 412

页数：14

共 58 条

[41]

MENDEZ R, 1992, TRANSPLANT P, V24, P2127

[42] SOMATIZATION, PSYCHIATRIC-DISORDER, AND STRESS IN UTILIZATION OF AMBULATORY MEDICAL-SERVICES [J].