%0 Journal Article
%T Challenges to physician¨Cpatient communication about medication use: a window into the skeptical patient¡¯s world
%A Bezreh T
%A Laws MB
%A Taubin T
%A Rifkin DE
%A Wilson IB
%J Patient Preference and Adherence
%D 2012
%I Dove Medical Press
%R http://dx.doi.org/10.2147/PPA.S25971
%X llenges to physician¨Cpatient communication about medication use: a window into the skeptical patient¡¯s world Original Research (4535) Total Article Views Authors: Bezreh T, Laws MB, Taubin T, Rifkin DE, Wilson IB Video presented by Tanya Bezreh Views: 253 Published Date December 2011 Volume 2012:6 Pages 11 - 18 DOI: http://dx.doi.org/10.2147/PPA.S25971 Tanya Bezreh1, M Barton Laws1, Tatiana Taubin1, Dena E Rifkin2, Ira B Wilson1 1Health Services Policy and Practice, Brown University, Providence, RI, USA; 2Divisions of Nephrology and of Preventive Medicine, University of California, San Diego, CA, USA Abstract: Patients frequently do not take medicines as prescribed and often do not communicate with their physicians about their medication-taking behavior. The movement for ¡°patient-centered¡± care has led to relabeling of this problem from ¡°noncompliance¡± to ¡°nonadherence¡± and later to a rhetoric of ¡°concordance¡± and ¡°shared decision making¡± in which physicians and patients are viewed as partners who ideally come to agreement about appropriate treatment. We conducted a qualitative content analysis of online comments to a New York Times article on low rates of medication adherence. The online discussion provides data about how a highly selected, educated sample of patients thinks about medication use and the doctor¨Cpatient relationship. Our analysis revealed patient empowerment and self-reliance, considerable mistrust of medications and medical practice, and frequent noncommunication about medication adherence issues. We discuss how these observations can potentially be understood with reference to Habermas¡¯s theory of communicative action, and conclude that physicians can benefit from better understanding the negative ways in which some patients perceive physicians¡¯ prescribing practices.
%K patient¨Cprovider communication
%K trust
%K medical decision making
%K dissent and disputes
%K culture of medicine
%K health literacy
%U https://www.dovepress.com/challenges-to-physicianndashpatient-communication-about-medication-use-peer-reviewed-article-PPA