| "Practicing medicine": patient perceptions of physician communication and the process of prescription. | |
| | |
MedLine Citation:
|
PMID: 20675096 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: This study explores patient perceptions of physician communication regarding prescription medications and develops a theory of the effects of perceived physician communication on the patient decision-making process of medication taking. METHODS: Using a grounded theory approach, this study systematically analyzed patient narratives of communication with physicians regarding prescription medications and the patient's resulting medication taking and adherence behavior. RESULTS: Participants described concern about side effects, lack of perceived need for medications, and healthcare system factors as barriers to medication adherence. Overall, participants seemed to assess the utility of communication about these issues based on their perceptions of their physician as the source of the message. CONCLUSION: The theory generated here includes patient assessments of their physician's credibility (trustworthiness and expertise) as a critical influence in how chronically-ill patients process information about the need for prescribed therapy. Trial and error to find appropriate medications seemed to deteriorate patients' perceptions of their physicians' credibility. PRACTICE IMPLICATIONS: A practical application of this theory is the recommendation for physicians to increase perceived expertise by clearly outlining treatment processes at the outset of treatment, presenting efficacy and timeline expectations for finding appropriate medications. |
| | |
Authors:
|
Christy J W Ledford; Melinda M Villagran; Gary L Kreps; Xiaoquan Zhao; Colleen McHorney; Melinda Weathers; Brian Keefe |
Related Documents
:
|
4093556 - The emergency physician and medical control in advanced life support. 22515756 - Faking good: self-enhancement in medical school applicants. 20048266 - In clinic. diabetic ketoacidosis. 15203506 - The role of medical education in the recruitment and retention of rural physicians. 8584586 - Maintenance treatment of schizophrenia: a review of dose reduction and family treatment... 8791256 - Long-term antipsychotic medication of schizophrenics does not promote the development o... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-02 |
Journal Detail:
|
Title: Patient education and counseling Volume: 80 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2010 Sep |
Date Detail:
|
Created Date: 2010-08-17 Completed Date: 2010-12-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
|
Languages: eng Pagination: 384-92 Citation Subset: N |
Copyright Information:
|
Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
George Mason University, Fairfax, VA 22030, USA. cledfor1@gmu.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Communication* Data Collection Drug Prescriptions Female Focus Groups Humans Interviews as Topic Male Medication Adherence / psychology* Middle Aged Physician's Practice Patterns Physician-Patient Relations* Physicians Prescriptions* Professional Competence |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Identifying patient information needs about cancer clinical trials using a Question Prompt List.
Next Document: How serious of a problem is staff turnover in substance abuse treatment? A longitudinal study of act...