Relationship of physician behavior to patient compliance

Falvo, Donna R.; Woehlke, Paula; Deichmann, John W.

doi:10.1016/s0738-3991(80)80101-7

Cited by 55 publications

(35 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For instance, it has been shown that information provided to patients by their doctors is positively related to adherence Falvo, Woehlke, & Deichman, 1980;Gellad et al, 2011). Involving patients in the decision-making process (Arbuthnott & Sharpe, 2009;Bultman & Svarstad, 2000), providing support (Carpenter, DeVellis, Fisher, DeVellis, Hogan & Jordan, 2010;Siegel, Turner & Haselkorn, 2008), and showing concern for patients (Falvo et al, 1980) also seem to enhance patients' adherence. Moreover, patients who have more trust in their physicians were more likely to follow their recommendations (Bennet et al, 2010;Kerse, Buetow, Mainous, Young, Coster & Arroll, 2004).…”

Section: Doctor-patient Relationshipmentioning

confidence: 99%

Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Levesque¹,

Li²,

Pahal³

2012

IJPS

View full text Add to dashboard Cite

The purpose of this study was to investigate factors related to patients' adherence to prescribed medications and recommended lifestyle changes. Two hundred and ninety-eight adults from a northern Canadian community filled out a questionnaire. Several intriguing findings emerged: (a) Adherence to lifestyle changes and participants' age presented a U-shape relationship; (b) Those who perceived themselves to be in poor health were less likely than those in good health to adhere to lifestyle changes; (c) Barriers such as the severe winter weather, lack of transportation, and cost of medications contributed negatively to adherence; and (d) If doctors provided sufficient information on the benefits and use of the prescribed medications and the proposed lifestyle changes and if patients reported trusting their doctors, they tended to adhere more. Physicians can play an important role in promoting adherence among patients. Community health workers should make efforts in reducing barriers that interfere with patient adherence.

show abstract

Section: Doctor-patient Relationshipmentioning

confidence: 99%

Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Levesque¹,

Li²,

Pahal³

2012

IJPS

View full text Add to dashboard Cite

show abstract

“…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.…”

Section: Introductionmentioning

confidence: 99%

Patients’ Beliefs and Preferences Regarding Doctors’ Medication Recommendations

Goff

Mazor

Meterko³

et al. 2008

J GEN INTERN MED

View full text Add to dashboard Cite

BACKGROUND: An estimated 20-50% of patients do not take medications as recommended. Accepting a doctor's recommendation is the first step in medication adherence, yet little is known about patients' beliefs and preferences about how medications are prescribed. OBJECTIVE:To explore patients' beliefs and preferences about medication prescribing to understand factors that might affect medication adherence. METHODS:Fifty members from 2 health plans in Massachusetts participated in in-depth telephone interviews. Participants listened to an audio-vignette of a doctor prescribing a medication to a patient and were asked a series of questions related to the vignette. Responses were reviewed in an iterative process to identify themes related to participants' beliefs and preferences about medication prescribing. RESULTS:Participants' beliefs and preferences about medication prescribing encompassed 3 major areas: patient-doctor relationships, outside influences, and professional expertise. Important findings included participants' concerns about the pharmaceutical industry's influence on doctors' prescribing practices and beliefs that there is a clear "best" medication for most health problems. CONCLUSIONS:Patients' beliefs and preferences about medication prescribing may affect medication adherence. Additional empiric studies that explore whether doctors' relationships with pharmaceutical representatives impact medication adherence by affecting trust are indicated. In addition, it would be worthwhile to explore whether discussions between patients and doctors regarding equipoise (no clear scientific evidence for 1 treatment choice over another) affect medication adherence.

show abstract

“…4 Though there is little empirical evidence to guide what physicians in an outpatient setting should discuss when prescribing new medications, studies have shown that patients who reported better and more discussions with their physicians about prescription medications were more adherent to their medications than those who reported receiving less information. [5][6][7][8] Physicians may rely on pharmacists to counsel patients about new prescriptions. 9 The Omnibus Budget Reconciliation Act of 1990 mandated that pharmacists inform patients about how to use a medication, common or 10 Pharmacists may not know, however, the indication for the medication or how long a patient should take a medication.…”

mentioning

confidence: 99%

Intervention to Enhance Communication About Newly Prescribed Medications

Tarn

Paterniti

Orosz

et al. 2013

The Annals of Family Medicine

View full text Add to dashboard Cite

PURPOSE Physicians prescribing new medications often do not convey important medication-related information. This study tests an intervention to improve physician-patient communication about newly prescribed medications. METHODSWe conducted a controlled clinical trial of patients in 3 primary care practices, combining data from patient surveys with audio-recorded physicianpatient interactions. The intervention consisted of a 1-hour physician-targeted interactive educational session encouraging communication about 5 basic elements regarding a new prescription and a patient information handout listing the 5 basic elements. Main outcome measures were the Medication Communication Index (MCI), a 5-point index assessed by qualitative analysis of audio-recorded interactions (giving points for discussion of medication name, purpose, directions for use, duration of use, and side effects), and patient ratings of physician communication about new prescriptions.RESULTS Twenty-seven physicians prescribed 113 new medications to 82 of 256 patients. The mean MCI for medications prescribed by physicians in the intervention group was 3.95 (SD = 1.02), signifi cantly higher than that for medications prescribed by control group physicians (2.86, SD = 1.23, P <.001). This effect held regardless of medication type (chronic vs nonchronic medication). Counseling about 3 of the 5 MCI components was signifi cantly higher for medications prescribed by physicians in the intervention group, as were patients' ratings of new medication information transfer (P = .02). Independent of intervention or control groups, higher MCI scores were associated with better patient ratings about information about new prescriptions (P = .003).CONCLUSIONS A physician-targeted educational session improved the content of and enhanced patient ratings of physician communication about new medication prescriptions. Further work is required to assess whether improved communication stimulated by the intervention translates into better clinical outcomes. Ann Fam Med 2013;11:28-36. doi:10.1370/afm.1417. INTRODUCTIONP hysicians prescribing a new medication often fail to discuss basic information about the medication with patients. 1 Yet guidelines recommend that physicians educate older adults about such information as the reason for the medication, how to take it, and potential side effects.2,3 Furthermore, better patient knowledge about medications is associated with better medication adherence. 4 Though there is little empirical evidence to guide what physicians in an outpatient setting should discuss when prescribing new medications, studies have shown that patients who reported better and more discussions with their physicians about prescription medications were more adherent to their medications than those who reported receiving less information. [5][6][7][8] Physicians may rely on pharmacists to counsel patients about new prescriptions. 9 The Omnibus Budget Reconciliation Act of 1990 mandated that pharmacists inform patients about how to use a medication, ...

show abstract

Relationship of physician behavior to patient compliance

Cited by 55 publications

References 7 publications

Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Patients’ Beliefs and Preferences Regarding Doctors’ Medication Recommendations

Intervention to Enhance Communication About Newly Prescribed Medications

Contact Info

Product

Resources

About