Medication use and misuse: Physician-patient discrepancies
1975; Pergamon Press; Volume: 28; Issue: 1 Linguagem: Inglês
10.1016/0021-9681(75)90045-4
ISSN1878-0679
AutoresBarbara S. Hulka, Lawrence L. Kupper, John C. Cassel, Richard L. Efird, James A. Burdette,
Tópico(s)Healthcare Policy and Management
ResumoINTRODUCTION DURING recent years a substantial literature has developed on the subjects of physician prescribing patterns [IA], medication use by various population groups [5-71, and patient compliance with taking prescribed medications [S-15]. Physician-patient communication has been reviewed under the assumption that compliant behavior can only occur as the result of appropriate communication [I 1, 12, 151. Methodological studies have been done to compare the accuracy of various methods for measuring patient compliance [13, 14, 16-201. The present paper introduces a quantitative method for analyzing data on medication use and misuse among patients with either adult onset diabetes mellitus or congestive heart failure. This study was undertaken within the context of a more comprehensive research effort. Representatives from two organizations, the American Academy of Family Physicians and the Department of Epidemiology at the University of North Carolina, undertook the development of a research design, which was both original in concept and feasible to implement, as a method of assessment of primary medical care [21]. Two of the areas for assessment are physician-patient communication and patient compliance. Communication represents the extent to which the physician is successful in transmitting information and instructions to the patient, while compliance measures the extent to which the patient’s behavior is modified by these instructions. Medicationtaking behavior is an important indicator of both communication and compliance. Study of medication use has the potential for introducing another concept into the evaluation scheme; that is, the recognition that communication is a two-way phenomenon. Not only should the patient take drugs as recommended by the
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