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Semiotics of 'Noncompliant' Patient

Charulata RamaprasadArkalgud Ramaprasad

出版	SSRN, 2010
URL	http://books.google.com.hk/books?id=lUjjzwEACAAJ&hl=&source=gbs_api

註釋

'Noncompliant' (NC) patient is a common label in medical records. While it encapsulates many dimensions of undesired patient behavior, the semiotics by which it is generated and applied is unclear: What data indicate noncompliance? How are the data analyzed and interpreted to label a patient as noncompliant? How does the label frame the physician's thinking? How does it affect the physician's diagnosis, treatment, instructions and actions? How does it affect medical outcomes? This lack of semiotic clarity can result in medical errors. We provide a framework (a) for conceptualizing the semiotics of NC, and (b) to understand the sources of potential medical errors. We illustrate the framework with a case study. The framework can be used to manage noncompliance effectively and reduce medical errors, especially with EMRs.