Compliance and the Doctor

It is a well known fact that patients often don’t fill their prescriptions or even take the medicine if they do fill them. That is what makes it so insane to “grade” doctors depending on their patients’ cholesterol, blood pressure, blood sugar average, etc.  In a study involving patients who had a recent heart attack, only half of them took the statin, beta blocker and aspirin recommended.  Even better, the medications were given to the pateints for……FREE!!!!!!!  Maybe this is a problem with communication?  I doubt it as this was a study and they have more time to explain things and educate the participants.  Maybe this is a cultural issue?  Who knows but to give “quality” grades to doctors that depend on patients’ compliance is like basing teachers’ pay on the tests scores that their students achieve.  Who is crazy enough to do that?

We are heading towards “No Patient Left Behind” which will fail miserably.