Advertisement

Pharmacy World and Science

, Volume 27, Issue 4, pp 321–328 | Cite as

Patients’ Understanding and Management of their Illnesses and Prescribed Medicines – A Descriptive Study

  • Anne G. GranåsEmail author
  • Ian Bates
Research Article

Abstract

Objective: The objective of this study was to explore patients’ understanding and management of their illnesses and prescribed medicines.

Method: Patients receiving three or more repeat prescription drugs were interviewed in their homes after their repeat prescriptions had drug-related problem (DRP) identified by a community pharmacist in a GP surgery.

Results: In total, 58 patients were interviewed. Patients distinguished strongly between ‘forgetting’ and ‘taking less’ of their medicines, and some actively reduced the dose themselves. More than 25% of the patients involved their spouse in the administration of their medicines. Patients had more worries about their illness (48%) than their medicines (31%). Any changes made to their present medication, or introduction of new medicines, were thought to ‘upset the balance’.

Conclusion: More information is needed on patients’ perspectives, both on side effects, compliance and how to deal with long-term medication. Health care professionals should seek to understand and respect patients’ choices to assure optimal care.

Key words

England General practice Patient compliance Patient health beliefs Patient information needs Repeat prescribing 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Griffith, S 1990A review of the factors associated with patient compliance and the taking of prescribed medicinesBr J Gen Prac401146Google Scholar
  2. 2.
    Morris, LS, Schulz, RM 1992Patient compliance – overviewJ Clin Pharm Ther1728395PubMedGoogle Scholar
  3. 3.
    Horne, R 1993One to be taken as directed: reflections on non-adherence (non-compliance)J Soc Adm Pharm101506Google Scholar
  4. 4.
    Lorenc, L, Branthwaite, A 1993Are older adults less compliant with prescribed medication than younger adults?Br J Clin Psychol3248592PubMedGoogle Scholar
  5. 5.
    Blenkinsopp, A, Bashford, J, Dickinson, D 1993 Aug 8Partnership with patients: health professionals need to identify how much information patients wantBr Med J3174134Google Scholar
  6. 6.
    Busson, M, Dunn, AP 1986Patients’ knowledge about prescribed medicinesPharm J236246Google Scholar
  7. 7.
    Crichton, EF, Smith, DL, Demanuele, F 1978Patient recall of medication informationDrug Intellig Clin Phar125919Google Scholar
  8. 8.
    Raynor, DK 1992Patient compliance: the pharmacist’s roleInt J Pharm Prac112635Google Scholar
  9. 9.
    Wiederholt, JB, Clarridge, BR, Svarstad, BL 1992Verbal consultation regarding prescription drugs: findings from a statewide studyMed Care3015973PubMedGoogle Scholar
  10. 10.
    Donovan, JL, Blake, DR, Fleming, WG 1989The patient is not a blank sheet: lay beliefs and their relevance to patient educationBr J Rheumat285861Google Scholar
  11. 11.
    McMahon, T, Clark, CM, Bailie, GR 1987Who provides patients with drug information?Br Med J2943556Google Scholar
  12. 12.
    Granas, AG, Bates, I 1999The effect of pharmaceutical review of repeat prescribing in general practiceInt J Pharm Pract726475Google Scholar
  13. 13.
    Brody, DS 1980Analysis of patient recall of their therapeutic regimensJ Chron Dis335763CrossRefPubMedGoogle Scholar
  14. 14.
    Harris, CM, Dajda, R 1996The scale of repeat prescribing [see comments]Br J Gen Prac4664953Google Scholar
  15. 15.
    Zermansky, AG 1996Who controls repeats?Br J Gen Pract466437PubMedGoogle Scholar
  16. 16.
    Lindley, CM, Tully, MP, Paramsothy, V, Tallis, CR 1992Inappropriate medication is a major cause of adverse drug reactions in elderly patientsAge Ageing21294300PubMedGoogle Scholar
  17. 17.
    Williams, A 1996Domiciliary pharmaceutical care for older people – a feasibility studyPharm J2562368Google Scholar
  18. 18.
    McKenney, JM, Harrison, WL 1999Drug-related hospital admissionsAm J Hosp Pharm3379251976Google Scholar
  19. 19.
    Hurwitz, N 1969Predisposing factors in adverse reaction to drugsBMJ15369PubMedGoogle Scholar
  20. 20.
    Haffner, CA, Main, A 1990Adverse drug reactions and the elderlyJ Clin Pharm Ther15779PubMedGoogle Scholar
  21. 21.
    Britten, N 1994Patients’ ideas about medicines: a qualitative study in a general practice populationBr J Gen Prac444658Google Scholar
  22. 22.
    Fogarty, JS 1997Reactance theory and patient noncomplianceSoc Sci Med45127788CrossRefPubMedGoogle Scholar
  23. 23.
    Gibbs, S, Waters, WE, George, CF 1989 JunBenefits of prescription information leaflets. Part 1Br J Clin Pharmac2772339Google Scholar
  24. 24.
    George, CF 1987Telling patients about their medicinesBr Med J29415667Google Scholar
  25. 25.
    Royal Pharmaceutical Society of Great Britain, and Merck Sharp & Dohme. From Compliance to Concordance; Achieving Shared Goals in Medicine Taking. Royal Pharmaceutical Society of Great Britain, London, 1997Google Scholar
  26. 26.
    McKinstry, B 1992Paternalism and the doctor–patient relationship in general practiceBr J Gen Prac423402Google Scholar
  27. 27.
    Fairbrother, Jean, Mottram, David, Williamsen, Peter M 1993The doctor–pharmacist interface, a preliminary evaluation of domiciliary visits by a community pharmacistJ Soc Adm Pharm108591Google Scholar
  28. 28.
    Ley, P, Whitworth, MA, Skilbeck, CE, Woodward, R 1976Improving doctor–patient communication in general practiceJ R Coll Gen Pract267204PubMedGoogle Scholar
  29. 29.
    Sensky, T, Catalan, J 1992Asking patients about their treatmentBMJ305110910PubMedCrossRefGoogle Scholar
  30. 30.
    Makoul, G, Arntson, P, Schofield, T 1995Health promotion in primary care: physician–patient communication and decision making about prescription msedicationsSoc Sci Med41124154CrossRefPubMedGoogle Scholar
  31. 31.
    Petty, R, Krosnick, J 1995Attitude Strength: Antecedents and ConsequencesErlbaumMahwah, NJISBN 0805810862Google Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  1. 1.Institute of Pharmacy Practice Research (Apoforsk) BergenNorway
  2. 2.Department of Practice and Policy, School of PharmacyUniversity of LondonLondonEngland

Personalised recommendations