Patients' understanding of prescribed drugs
Tóm tắt
Patients must understand their physicians' recommendations if they are to follow medical advice. This study assesses the degree to which patients and physicians share basic information about medications. Patients who regularly attend the medical clinics of a large, urban teaching hospital were asked to recall the identity, purpose, and dose schedule of medications that were prescribed for them. Patients' responses were compared to the medications actually prescribed by their physicians. Patients identified 90% of medications prescribed during the visits, knew the purpose of 83%, and the correct dose schedule for 80%. Only 58% of patients knew the dosage schedule of all their medications correctly. Patients' knowledge of prescribed durgs was inversely related to the number of their medical problems and the number of medications prescribed. Lack of effective communication between physicians and patients about medications may be an important reason why patients do not follow medical advice.
Tài liệu tham khảo
Sackett DL, Haynes RB:Compliance with Therapeutic Regimens. Baltimore, Johns Hopkins University Press, 1976.
Schwartz D, Wang M, Zeitz L, et al: Medication errors made by elderly, chronically ill patients.Am J Public Health 522018–2029, 1962.
Hulka BS, Kupper LL, Cassel JC, et al: Medication use and misuse: Physician-patient discrepancies.J Chronic Dis 287–21, 1975.
Hulka BS, Cassel JC, Kupper LL, et al: Communication, compliance and concordance between physicians and patients with prescribed medications.Am J Public Health 66847–853, 1976.
Parkin DM, Henney CR, Quirk J, et al: Deviation from prescribed drug treatment after discharge from hospital.Br Med J 2686–688, 1976.
Fletcher RH, Fletcher SW: The medical polyclinic: An approach to conflicting needs in a teaching hospital.J Med Educ 51634–642, 1976.
Haynes RB, Sackett DL, Taylor DW, et al: Manipulation of the therapeutic regimen to improve compliance: Conceptions and misconceptions.Clin Pharmacol Ther 22125–130, 1977.