Compliance and Adherence are Dysfunctional Concepts in Diabetes Care
Top Cited Papers
- 1 July 2000
- journal article
- review article
- Published by SAGE Publications in The Diabetes Educator
- Vol. 26 (4) , 597-604
- https://doi.org/10.1177/014572170002600405
Abstract
Recognizing that adherence and compliance are dysfunctional concepts is not a passing fad or the latest trend in behavioral approaches to diabetes care and education. Shifting from the acute-care/compliance-focused paradigm to an empowerment/collaborative approach requires a new vision of diabetes education and a new definition and enactment of the roles of educators and patients. Our practice is always an expression of our vision; therefore, if our vision is transformed, our practice will most likely change to reflect our vision. Eliminating the concepts of adherence and compliance makes it possible for our patients to discover and actualize their personal responsibility for their diabetes self-management. Also, it helps us to practice diabetes education as win-win collaboration among equals.Keywords
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