Take as directed', whatever that means

Hopkins, Helen; Wade, Tony; Weir, Derek

doi:10.18773/austprescr.2000.117

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…From this perspective, it could be argued that people with HIV act in accordance with their subjective experiences of treatment use, which might result in being positioned as nonadherent. The consequences of positioning people with HIV as either adherent or nonadherent locates responsibility for treatment success or failure in individuals (Hopkins, Wade, & Weir, 2000). In this regard, adherence discourse does not take into account the multiplicity and complexity of individuals' subjectivities and their lived experiences.…”

Section: Discussionmentioning

confidence: 99%

How Do Subjectively-Constructed Meanings Ascribed to Anti-HIV Treatments Affect Treatment-Adherent Practice?

Wong

Ussher

2008

Qual Health Res

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Anti-HIV treatment-adherent practice is a significant issue in HIV medical discourses on effective disease treatment and management. Findings from research studies into treatment (non)adherence have positioned the act as a medical issue that could be remedied by behavioral strategies. The present study, conducted in Sydney, Australia, aims to examine treatment-(non)adherent practice as a subjective expression of meanings ascribed to treatments by employing a narrative analytical approach informed by poststructuralist epistemology. The findings indicate that people with HIV negotiate and position treatments in particular ways that lead to multiple and varied understanding of treatments. The ways treatments are positioned in their everyday lives suggest that meanings ascribed to treatments impact on the way individuals negotiate demands embedded in the medically-constructed practice of adherence.

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Section: Discussionmentioning

confidence: 99%

How Do Subjectively-Constructed Meanings Ascribed to Anti-HIV Treatments Affect Treatment-Adherent Practice?

Wong

Ussher

2008

Qual Health Res

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“…Medical and consumer literature identifies the importance of an exchange and sharing of information between consumers and health professionals to achieve positive health outcomes. 31 In traditional "bricks and mortar" practices consumers can be provided with, or ask for, advice about medicines, and such advice is generally valued. 32 Pharmacists also refer consumers to their doctor when necessary.…”

Section: Discussionmentioning

confidence: 99%

Surfing, self-medicating and safety: buying non-prescription and complementary medicines via the internet

Bessell

2003

Quality and Safety in Health Care

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Objective: To examine whether the sale of medicines via the internet supports their safe and appropriate use.Design: e-Pharmacy websites were identified using key words and a metasearch engine and the quality of information published on these websites was surveyed using the DISCERN tool. A case scenario and internet pharmacy practice standards were also used to evaluate the quality of care delivered. Setting and participants: Between July and September 2001 104 websites were surveyed and 27 sent either Sudafed (pseudoephedrine HCl), St John's wort products, or both to a residential address in Melbourne, Australia. Main outcome measures: Quality of health information (DISCERN ratings), information exchanged between e-pharmacy staff and consumers, and product and delivery costs. Results: Of 104 e-pharmacies from at least 13 different countries, 63 websites provided some health information but overall the quality of the information was poor. Only three website operators provided adequate advice to consumers to avoid a potential drug interaction. The costs for a daily dose of pseudoephedrine HCl (240 mg) ranged from A$0.81 to A$3.04, and delivery costs from A$3.28 to A$62.70. Conclusion: Consumers who self-select medicines from websites have insufficient access to information and advice at the point of ordering and on delivery to make informed decisions about their safe and appropriate use.T he internet provides consumers with global access to health information, services and support. It has revolutionised the sale of medicines so that consumers can selfselect and buy medicines, often delivered across national and state boundaries, without face to face interaction with a health professional. e-Pharmacies are websites selling prescription only medicines and other products including non-prescription and complementary medicines.To ensure the optimal use of medicines, consumers should have timely access to quality information about their benefits, risks, and appropriate usage.1 Consumers want information about medicines but have different individual needs.2 3 Health professionals who prescribe or dispense medicines have professional, ethical, and legal responsibilities to provide consumers with quality information and facilitate the safe and appropriate use of medicines. Whether e-pharmacies provide such information or advice is largely unknown.Previous studies of e-pharmacies are limited to American websites or those selling lifestyle medications, including sildenafil and finasteride. [4][5][6][7][8][9][10] Most studies regarding quality of online information focus on specific diseases or treatments, rather than the information and advice associated with the delivery of pharmaceutical services.As controversy brews over the announcement of a German health insurance company that encourages consumers to buy medicines via the internet, 11 this study aims to examine whether consumers can do so safely. It is the first study to evaluate the quality of information published on global e-pharmacy websites and to determine what h...

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“…7,37 Reasons provided by older Australians for not adhering to prescribed drugs are listed in Table 3. [56][57][58][59][60]…”

Section: Adherencementioning

confidence: 99%

Problems with Medication Use in the Elderly: An Australian Perspective

Elliott

2006

Pharmacy Practice and Res

122

113

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Pharmacotherapy is an essential component of medical care for older patients, and around two-thirds of Australians over the age of 60 years use 4 or more drugs. Although polypharmacy is a well-known risk factor for adverse drug events, use of multiple drugs may be unavoidable in the elderly with multiple comorbidities. While there have been concerns about inappropriate prescribing, polypharmacy and non-adherence, it is now recognised that there are a broader range of drug-related problems that need to be addressed. These include suboptimal monitoring of drugs, poor medication management in patients' homes, under-prescribing and poor communication between health professionals. This is a review of the Australian literature on problems with medication use in the elderly, with guidelines for improving the quality of medicine use in this population. INTRODUCTIONThe elderly make up a growing proportion of the Australian population. Currently those aged 65 years and over represent 12% of the population and in less than 50 years this will increase to 25%.

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Take as directed', whatever that means

Cited by 5 publications

References 5 publications

How Do Subjectively-Constructed Meanings Ascribed to Anti-HIV Treatments Affect Treatment-Adherent Practice?

How Do Subjectively-Constructed Meanings Ascribed to Anti-HIV Treatments Affect Treatment-Adherent Practice?

Surfing, self-medicating and safety: buying non-prescription and complementary medicines via the internet

Problems with Medication Use in the Elderly: An Australian Perspective

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