Gerard Reach


Professor Gerard Reach, MD, FRCPEdin is currently Professor of Endocrinology and Metabolic Diseases at University Paris 13, Sorbonne Paris Cité. His main research interest is in the optimization of diabetes care through an investigation of the mechanisms of patients’ nonadherence and doctors’ clinical inertia. He is developing a plea for a person-centered medicine.
He is the author of more than 300 papers and chapters, including 220 papers indexed in Pubmed. Two of his books have been recently published in English by Springer: The Mental Mechanisms of Patient Adherence to Long-Term Therapies, Mind and Care (2015, Philosophy and Medicine Series), Foreword by Pascal Engel, and Clinical Inertia, a Critique of Medical Reason, Foreword by Jon Elster (2015).

Relevant papers:
1) Reach G. The role of habit in therapeutic adherence, Diabetic Medicine, 2005;22:415-20.
2) Reach G, A novel conceptual framework for understanding adherence to long term therapies, Patient Preference and Adherence, 2008; 2: 7-20;
3) Reach G, Patient non-adherence and Health Care Provider clinical inertia are clinical myopia, Diabetes Metab 2008; 34:382-5;
4) Reach G. Linguistic barriers in diabetes Care, Diabetologia. 2009;52:1461-3;
5) Reach G. Is there an impatience genotype leading to non-adherence to long term therapies? Diabetologia. 2010;53:1562-7
6) Reach G, Michault A, Bihan H, Paulino C, Cohen R, Le Clésiau H, Patients’ impatience is an independent determinant of poor diabetes control, Diabetes Metab 2011;37:497-504.
7) Reach G. Obedience and motivation as mechanisms for adherence to medication. A study in obese type 2 diabetic patients. Patient Prefer Adherence 2011;5:523-31.
8) Reach G. Patient autonomy in chronic care: solving a paradox. Patient Preference Adherhence. Patient Preference and Adherence. 2013 Dec 12;8:15-24
9) Reach G. Clinical inertia, uncertainty, and individualized guidelines. Diabetes Metab 2014;40:241-5
10) Reach G. Patient’s non-adherence and doctors’ clinical inertia: the two faces of medical irrationality. Diabetes Manag. 2015; 5, 167–181
11) Reach G. Simplistic and complex thought in medicine: the rationale for a person-centered care model as a medical revolution. Patient Preference and Adherence 2016:10 449–457
12) Reach G. Patient education, nudge, and manipulation: defining the ethical conditions of the person centered model of care. Patient Preference and Adherence 2016:10 459–468