| Challenges to physician-patient communication about medication use: a window into the skeptical patient's world. | |
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MedLine Citation:
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PMID: 22272065 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Patients frequently do not take medicines as prescribed and often do not communicate with their physicians about their medication-taking behavior. The movement for "patient-centered" care has led to relabeling of this problem from "noncompliance" to "nonadherence" and later to a rhetoric of "concordance" and "shared decision making" in which physicians and patients are viewed as partners who ideally come to agreement about appropriate treatment. We conducted a qualitative content analysis of online comments to a New York Times article on low rates of medication adherence. The online discussion provides data about how a highly selected, educated sample of patients thinks about medication use and the doctor-patient relationship. Our analysis revealed patient empowerment and self-reliance, considerable mistrust of medications and medical practice, and frequent noncommunication about medication adherence issues. We discuss how these observations can potentially be understood with reference to Habermas's theory of communicative action, and conclude that physicians can benefit from better understanding the negative ways in which some patients perceive physicians' prescribing practices. |
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Authors:
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Tanya Bezreh; M Barton Laws; Tatiana Taubin; Dena E Rifkin; Ira B Wilson |
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Publication Detail:
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Type: Journal Article Date: 2011-12-30 |
Journal Detail:
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Title: Patient preference and adherence Volume: 6 ISSN: 1177-889X ISO Abbreviation: Patient Prefer Adherence Publication Date: 2012 |
Date Detail:
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Created Date: 2012-01-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101475748 Medline TA: Patient Prefer Adherence Country: New Zealand |
Other Details:
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Languages: eng Pagination: 11-8 Citation Subset: - |
Affiliation:
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Health Services Policy and Practice, Brown University, Providence, RI, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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