What patients think doctors know: Beliefs about provider knowledge as barriers to safe medication use

PATIENT EDUCATION AND COUNSELING

卷:93

Article

Serper, Marina^1,2  McCarthy, Danielle M.³  Patzer, Rachel E.⁴  King, Jennifer P.¹  Bailey, Stacy C.⁵  Smith, Samuel G.⁶  Parker, Ruth M.⁷  Davis, Terry C.⁸  Ladner, Daniela P.²  Wolf, Michael S.^1,2,9 

[1] Northwestern Univ, Feinberg Sch Med, Hlth Literacy & Learning Program, Div Gen Internal Med, Chicago, IL 60611 USA

[2] Northwestern Univ, Feinberg Sch Med, NUTORC, CTC, Chicago, IL 60611 USA

[3] Northwestern Univ, Dept Emergency Med, Feinberg Sch Med, Chicago, IL 60611 USA

[4] Emory Univ, Sch Med, Dept Surg, Div Transplantat, Atlanta, GA 30322 USA

[5] Univ N Carolina, Eshelman Sch Pharm, Div Pharmaceut Outcomes & Policy, Chapel Hill, NC USA

[6] UCL, Dept Psychol, Hlth Behav Res Ctr, London, England

[7] Emory Univ, Sch Med, Div Gen Med, Atlanta, GA USA

[8] Louisiana State Univ, Hlth Sci Ctr, Dept Med Pediat, Shreveport, LA 71105 USA

[9] Northwestern Univ, Sch Educ & Social Policy, Dept Learning Sci, Evanston, IL USA

关键词: Patient beliefs;    Patient provider communication;    Medications;    Health literacy;    Medication;    Safety;   

DOI  :  10.1016/j.pec.2013.06.030

来源: Elsevier

【 摘 要 】

Objective: We examined patient beliefs about provider awareness of medication use, patient-reported prevalence and nature of provider counseling about medications, and the impact of health literacy on these outcomes. Methods: Structured interviews were conducted at academic general internal medicine clinics and federally qualified health centers with 500 adult patients. Interviewer-administered surveys assessed patients' beliefs, self-reported prevalence and nature of provider counseling for new prescriptions, and medication review. Results: Most patients believed their physician was aware of all their prescription and over the counter medications, and all medications prescribed by other doctors; while a minority reported disclosing over the counter and supplement use. Among those receiving new prescriptions (n = 190): 51.3% reported physician medication review, 77.4% reported receiving instructions on use from physicians and 43.3% from pharmacists. Side effects were discussed 42.9% of the time by physicians and 25.8% by pharmacists. Significant differences in outcomes were observed by health literacy, age, and clinic type. Conclusions: There is a sizable gap between what patients believe physicians know about their medication regimen and what they report to the physician. Practice implications: Discordance between patient beliefs and physician knowledge of medication regimens could negatively impact patient safety and healthcare quality. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

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