Patient Preference and Adherence
Open access peer-reviewed scientific and medical journals.
Dove Medical Press is now a member of the Open Access Initiative
An Author's Guide
A guide to help authors get their paper published.
Support Open Access and Dove Press
Promotional Article Monitoring - further details
Favored Author Program
Real benefits for authors, including fast-track processing of papers.
Challenges to physician–patient communication about medication use: a window into the skeptical patient’s world
(5219) Total Article Views
Authors: Bezreh T, Laws MB, Taubin T, Rifkin DE, Wilson IB
Video presented by Tanya Bezreh
Published Date December 2011
Volume 2012:6 Pages 11 - 18
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–patient 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.
Keywords: patient–provider communication, trust, medical decision making, dissent and disputes, culture of medicine, health literacy
Cannotea Citeulike Del.icio.us Facebook LinkedIn Twitter
Other articles by Dr Michael Laws
Readers of this article also read:
"I was impressed at the rapidity of publication from submission to final acceptance." Dr Edwin Thrower, PhD, Yale University.
- Health literacy and health seeking behavior among older men in a middle-income nation
- Prolonged rupture of membranes in term infants: should all babies be screened?
- Increasing access to quality health care for the poor: Community perceptions on quality care in Uganda
- Narcissistic rage: The Achilles’ heel of the patient with chronic physical illness