nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2014-2-4-12nnp-387Research ArticleLECTURESЛЕКЦИЯTherapeutic collaboration (compliance): Content of the definition, mechanisms of formation, and methods of optimizationТерапевтическое сотрудничество (комплаенс): содержание понятия, механизмы формирования и методы оптимизацииДаниловД.С.DanilovD.S.

S.S. Korsakov Clinic of Psychiatry

«Mental Health» Research, Education and Clinical Center

clinica2001@inbox.ruКлиника психиатрии им. С.С. Корсакова Университетской клинической больницы №3 Научно-образовательный клинический центр «Психическое здоровье» ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава РоссииРоссияUniversity Clinical Hospital Three I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, MoscowRussian Federation20141906201462412Copyright © Danilov D., 20142014Данилов Д.Danilov D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/387

Тhe article discusses the role of therapeutic collaboration (compliance) in the efficiency of a treatment process. It analyzes the relationship between the quality of compliance and psychological, clinical, therapeutic, social factors and specific features of medical care. There are data on the efficiency of current methods for optimizing therapeutic compliance. The quality of compliance in different diseases is discussed.

Recommendations are given to improve its quality in cardiovascular, chronic infectious diseases, cancers, skin, neurological, and mental diseases in children and elderly patients.

Обсуждается роль терапевтического сотрудничества (комплаенса) в эффективности лечебного процесса. Анализируется взаимосвязь между качеством комплаенса и психологическими, клиническими, терапевтическими, социальными факторами, особенностями организации медицинской помощи. Приводятся данные об эффективности современных методов оптимизации терапевтического сотрудничества. Обсуждается качество комплаенса при различных заболеваниях. Приводятся рекомендации,направленные на его улучшение при сердечно-сосудистых, хронических инфекционных, онкологических, кожных, нервных и психических болезнях, у детей и пожилых больных.

комплаенсприверженность лечениюсогласие с лечениемтерапевтическое сотрудничествомеханизмы формированияметоды оптимизациивнутренние болезниинфекционные болезнизлокачественные новообразованиякожные болезнинервные болезнипсихические расcomplianceadherence to medicationconcordance with medicationtherapeutic collaborationformation mechanismsoptimization methodsinternal diseasesinfectious diseasesmalignanciesskin diseasesneurological diseasesmental disorderschildrenReferencesSackett DL. Introduction and the magnitude of compliance and noncompliance. In: Compliance with therapeutic regimens. Sackett DL, Haynes RB, editors. Baltimore: Johns Hopkins University Press; 1976. P. 1–25.Sackett DL. Introduction and the magnitude of compliance and noncompliance. In: Compliance with therapeutic regimens. Sackett DL, Haynes RB, editors. Baltimore: Johns Hopkins University Press; 1976. P. 1–25.Haynes RB. Introduction. In: Compliance in Health Care. Haynes RB, Sackett DL, Taylor DW, editors. 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The authors declare that there are no conflicts of interest present.