A role of a patient's motivation in specific allergy vaccination

Abstract

A choice of therapy tactics and performing of specific allergy vaccination in atopic patients are greatly depended on a patient's motivation which is a conscious desire to keep preventing and therapeutic requirements. Thirty-year experience of the specific allergy vaccination in the Saratov allergological center demonstrates a significant activation of a patient’s role in the treatment and a transfer of medical practice from the paternalistic model, when a doctor has an exclusive right to decide a patient's future, to social-and-ethic partnership based on a patient's awareness of potential benefit and risk of treatment. Such decision for 98.4% of the patients is based on a positive motivation to reach future benefit of he treatment. Orientation to health without drugs and good results of the first therapy course predominate over social, occupational, emotional factors of the patients while being treated with specific allergy vaccination.