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Doody's Review ServiceReviewer: Paul H. Keckley, PhD (Vanderbilt University Medical Center)
Description: The authors endeavor to provide a systematic review of policies related to patient compliance per JCAHO standards.
Purpose: The topic itself is highly relevant and merits in-depth attention to the relevance of patient and patient family adherence to optimal outcomes.
Audience: The audience includes hospital and medical group quality assurance and patient education professionals.
Features: The book provides a useful approach to reviewing JCAHO requirements for patient compliance procedures. It does so in a helpful, straightforward and easy-to-read manner. The shortcomings of the book are two: the concept of "compliance" is presumptive that the directives of the care team/clinician are evidence-based and appropriate, but studies indicate this is often not the case. Thus, the concept of "adherence" has replaced compliance to draw attention to the active role patients and patient families can play in shared decision-making about clinical processes. The second oversight is simply the lack of resources—websites and others—that assist in patient compliance. The process outlined is helpful in understanding policies, procedures and roles spelled out in JCAHO accreditation procedures, but does not go far enough toward optimizing patient adherence and appropriate family involvement.
Assessment: The book is helpful in understanding JCAHO expectations but falls short in providing a full characterization of concepts and approaches to adherence.