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The impact of patient compliance on effective asthma management

2003· review· en· W2114729654 on OpenAlexaff
Elizabeth F. Juniper

Bibliographic record

VenueCurrent Opinion in Pulmonary Medicine · 2003
Typereview
Languageen
FieldMedicine
TopicAsthma and respiratory diseases
Canadian institutionsMcMaster University
Fundersnot available
KeywordsMedicineCompliance (psychology)Patient complianceAsthmaPatient satisfactionQuality of life (healthcare)NegotiationIntensive care medicineMEDLINEMedical emergencyNursingFamily medicine

Abstract

fetched live from OpenAlex

Low rates of patient compliance pose a major challenge to effective asthma management. Non-compliance depends on many factors, including the patient's own treatment goals, beliefs about therapy, social and economic factors, administration route, convenience of device, and concerns about side-effects. Poor patient compliance may also be due to a discrepancy between the goals of the clinician and those of the patient. Clinicians tend to focus on prevention of mortality and reduction of morbidity, whereas patients are usually concerned with health-related quality of life. Improvement in patient compliance requires better clinician-patient communication and an improved therapeutic alliance between professional and patient, emphasizing shared goals. With shared decision-making, both the clinician and the patient decide on the patient's management plan. Together, they negotiate a plan that the patient is willing to follow and that works towards both sets of goals. A contractual agreement between patient and clinician may improve both clinical asthma control and patient health-related quality of life.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.004
Threshold uncertainty score0.018

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.006
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0010.002
Science and technology studies0.0000.001
Scholarly communication0.0020.001
Open science0.0010.001
Research integrity0.0020.001
Insufficient payload (model declined to judge)0.0040.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.085
GPT teacher head0.436
Teacher spread0.351 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations29
Published2003
Admission routes1
Has abstractyes

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