This is a YouTube video titled "Why 50-60% of People Don’t Follow Their Doctor’s Orders" containing a multi-speaker conversation recorded in February 2020. Participants include Dr. David Asch, Ask AI Mark, and Dr. Mark McClellan discussing the challenges patients face in following medical advice, emphasizing empathy and understanding decision-making barriers rather than blaming patients for non-compliance.
To emphasize the point that we talked about earlier, the self-blame part of this. You know, I didn't follow through on my New Year's resolutions. Why did I eat that? How come I didn't go to the gym? All these things that we know are good for ourselves. People looking in the mirror and blaming themselves, you know, feeling this incredible self-blame that is not productive in any way, need to realize how much the deck is stacked against them moment to moment, so that they can't make those good decisions. And for us as healthcare providers, we've got to reframe the way we look at people who don't make good decisions and realize how much the deck has been stacked against them and work with them at this higher level now to first foster better decision making and then give the information so the field is ready to accept the players.
So you're saying that someone comes in with diabetes from eating all kinds of junk, We shouldn't be focused on fixing their blood sugar, but fixing their decider.
Well, if you fix their blood sugar, obviously their decision making is going to improve.
Interestingly. But you're saying go upstream.
Absolutely.
This is higher level. 50 to 80% of people don't do what their doctor tells them.
It's not because they're bad people.
Exactly.
They don't know the statistic. I'm impressed.
I know you've done some reading.
This is the page 128.
This is the medical paradigm we basically have is that your patient goes into the office, they sit down with the provider, provider says, I don't understand. We talked about this. You need to exercise more. You need to eat healthier food. You haven't done it. Do you not get this? The patient says, oh no, I get it. I just couldn't do it. And so the doctor says, well, patient is non-compliant. That's what goes in the note. And then you sign the note because there's one aspect of it.
Such a judgmental.
You're non-compliant. We need more empathy. We need to understand now. As you well know, that people are having their decision making.
How about, you're not not complaining, I'm ineffective in doing the right thing because I don't understand how to actually fix your decision.
