Communication, compliance, and concordance between physicians and patients with prescribed medications.

Abstract

Forty-six practicing physicians and 357 patients with diabetes mellitus or congestive heart failure were the subjects for this study, which focuses on the impact of medication regimen and doctor-patient communication in affecting patient medication-taking behavior and physician awareness of these behaviors.Four types of medication errors were defined: omissions, commissions, scheduling misconceptions and scheduling non-compliance. The average error rates were 19 per cent, 19 per cent, 17 per cent and 3 per cent, respectively. The combined average error was 58 per cent; scheduling non-compliance on the part of the patient was a minor component.Specific aspects of the medication regimen were associated with increased errors: (1) the more drugs in-

What do measures of patient satisfaction with the doctor tell us?

“…When combined with confidence in the provider's expertise, these humane skills and behaviors engender patient trust. Many medical outcomes from many caring patient-doctor interactions aggregate over time (e.g., greater patient loyalty, increased likelihood of keeping medical appointments, following doctor advice and treatment regimen) [24,37,74,75]. The psychological impacts are equally noteworthy, such as decreasing patient anxiety, increasing hope and optimism for treatment success/recovery, and promoting feelings of well-being [76,77].…”

How ready is general practice to improve quality in chronic kidney disease? A diagnostic analysis

“…11 The idea that the patient should be made to 'comply' with treatment was first challenged by cardiologists over 30 years ago. 22 Concordance, which implies sharing decision making between professional and patient, has been unchallenged as the correct approach to patient management in primary care for at least a decade. 23 The authors were struck that despite all their discomfiture with aspects of CKD diagnosis and management, all the focus groups identified patient 'compliance' as an issue, especially with additional blood pressurelowering drugs.…”

Patients’ Beliefs and Preferences Regarding Doctors’ Medication Recommendations

“…5 Patients who report better general communication with their doctor, better instructions on how to take a medication, and who receive more medication information are more likely to take medications as prescribed. [6][7][8] The Agency for Healthcare Research and Quality has recommended counseling techniques to improve medication adherence and reduce medical errors, 9 but doctors' medication-counseling habits have been shown to be suboptimal. 10 The first conversation between a doctor and a patient about a new medication is not only an opportunity for the doctor to communicate information about the medication but also a chance to explore patient values that may influence whether a patient is receptive to a medication.…”