‘Non-compliance’ as illness management: Hemodialysis patients’ descriptions of adversarial patient–clinician interactions

With only 50% of patients in developed countries following the therapies prescribed for them by health professionals, “non-compliance” is commonly described as causing increases in morbidity, hospital visits, and overall healthcare costs. A plethora of non-compliance studies have failed to identify consistent predictors for, or solutions to, patients’ non-compliance. Our longitudinal (September 2006–September 2008) participatory action research...