Is concordance the primrose path to health?

Interest in healthy lifestyle and adherence to medications: Impact on mortality among elderly cardiovascular patients in the DEBATE Study

“…Patients wish to comply or at least to give a good impression of themselves as obedient patients [7]. In our study, contrary to prior findings, the physician's evaluation of healthy lifestyle/adherence had high predictive value for longterm prognosis.…”

“…The physician-patient relationship is an unequal relationship in which expertise gives more power to the physician [6]. When feeling inferior, patients often wish to give a rosy picture of their compliance, hiding their own opinions and decisions from physicians [7]. It is thus often very difficult for physicians to evaluate their patients' compliance in a physician-centered consultation.…”

Towards a Theory of Care Transition: From Medical Dominance to Managed Consumerism

“…It is seen to take too much time and detract from what the professional thinks is the right course of action for the patient. Doubts about its benefits to patients remain (Ferner, 2003).…”

Full Integration of Teaching ‘Medical Humanities’ in the Medical Curriculum: The Challenge of the Florence Medical School

“…Overlying the problem is the role of the medical profession, the skills it proclaims to profess and its relationship with the patient. Members of the medical profession are often criticized for overriding the wishes of the patient or for acting without informed consent [1]. The role of informed consent is one of the great challenges to the ethics and practice of modern medicine.…”