title: Should we measure the individual or the system? Operational factors affecting compliance with treatment.
abstract: Chronic kidney disease requires a complex array of treatment interventions, including dietary and fluid restriction, medications, and self-monitoring of blood pressure. Patient well-being is directly linked to adhering to physician recommendations and treatment schedules. While considerable efforts have been directed to understanding the contribution of patient characteristics, burden of treatment, and patient-provider relations, little study has been conducted on the "system" requirements that support good patient-provider communication. This study examines how operational characteristics occurring at the time of an encounter affect the likelihood a patient will "hear" provider recommendations.
authors.affiliation: Department of Pediatrics, University of California San Diego, Division of Community Pediatrics, 4305 University Avenue, Suite 590, San Diego CA 92110, USA. jfontanesi@ucsd.edu
authors.forename: John
authors.initials: J
authors.lastname: Fontanesi
authors.forename: Sophia
authors.initials: S
authors.lastname: Ruiz
authors.forename: Vivian
authors.initials: V
authors.lastname: Reznik
mesh_terms: D003142:Communication; D006302:Health Services Research; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010349:Patient Compliance; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D012107:Research Design