Observance in diabetes: from therapeutic education to therapeutic alliance.
The aim of this paper is to understand why non-observance is so frequent in diabetic patients, to delineate some of its mechanisms, which should make it possible to propose approaches to prevent non-observance. This will lead us to clarify the relationship between therapeutic education and observance, and to justify on a theoretical basis the concept of therapeutic alliance.
Service de Médecine Interne et Endocrinologie, Hôpital Avicenne, Assistance Publique-Hôpitaux de Paris, 93009 Bobigny. gerard.reach@avc.ap-hop-paris.fr
Gérard
G
Reach
D003920:Diabetes Mellitus / Q000523:psychology / Q000628:therapy*; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008960:Models, Psychological; D010349:Patient Compliance