How to Encourage Non-compliance

Think back to your last medical visit then review this list (which I use in a day-long workshop on non-compliance which I've presented to both medical and mental health audiences):

How to Encourage Non-compliance

• Act unfriendly, distant, unapproachable.
• Look and act busy.
• See patients in a chaotic setting with many interruptions.
• Use jargon and terms foreign to the patient. Never ask if they understand.
• Cut the patient off. Interrupt. Don't allow the patient to tell their story in their own words.
• Ignore the patient's questions or act as though they are dumb questions.
• Don't bother to understand the patient's ideas about their illness. Don't ask about their concerns or expectations.
• Don't bother with a clear explanation of the diagnosis and the causes of the problem.
• State the treatmen vaguely or in technical terms. Don't explain the rationale for this treatment regimen.
• Don't ask for feedback. Ignore any objections the patient expresses.
• Terminate the interview abruptly.
• Provide little support or encouragement.

Note: In many settings, care is organized in ways than inadvertantly minimize compliance.

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