Effective chronic disease management: patients' perspectives on medication-related problems.

Effective chronic disease management: patients' perspectives on medication-related problems. Research Abstract Details 

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Effective chronic disease management: patients' perspectives on medication-related problems. Abstract Text:

Jill Beattie,

OBJECTIVE: To examine medication-related problems from the perspective of patients with a chronic condition and to identify how they may be supported in managing their medication. METHODS: Patients prescribed medication for cardiovascular disease were recruited through five general medical surgeries and four community pharmacies in south London. Data were collected in 98 face-to-face interviews in participants' own homes. Interviews were designed to enable a detailed and holistic exploration of medication-related problems from participants' perspectives. Data were audio-recorded and transcribed verbatim to allow qualitative analysis. RESULTS: Five broad categories of medication-related problem emerged which were examined in the context of patients' perspectives on, and experiences of, the use of medicines and health services. These were concerns about and management of side effects; differing views regarding the use of medicines; cognitive, practical and sensory problems; lack of information or understanding; and problems with access to, and organisation of, services. CONCLUSION: All categories of problem had potential implications for the success of therapy in that they created barriers to adherence, access to medication or informed decision-making. The study demonstrated how patients actively engage in decision-making about their medicines in the home, if not in the consultation. PRACTICE IMPLICATIONS: The five categories of problem provide a focus for interventions by health professionals to support patients in achieving optimal theory outcomes. They demonstrate the need for a comprehensive approach, spanning patient education to the systems of delivery of care. Within the NHS in Britain, policy and practice initiatives are being designed to achieve this end. Further research should focus on the evaluation of professional practices and service developments in supporting patients in the self-management of their medicines.

Effective chronic disease management: patients' perspectives on medication-related problems. Publishing Authors By Initials

J Beattie,

For similar health care economics and organizations: state medicine research abstracts see: health care economics and organizations: state medicine research

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Effective chronic disease management: patients' perspectives on medication-related problems. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Patient education and counseling

VOLUME: 65

Page Numbers: 407-15

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ISSN: 0738-3991

DAY: 1

MONTH: 11

YEAR: 2006

Effective chronic disease management: patients' perspectives on medication-related problems. Information

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LANGUAGE: eng

NlmUniqueID: 8406280

Effective chronic disease management: patients' perspectives on medication-related problems. Keywords Mesh Terms:

KEYWORDS: State Medicine

MESH TERMS: organization & administration

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Grant and Affiliation Information for Effective chronic disease management: patients' perspectives on medication-related problems.

AFFILIATION: 10 St Brenda's Court, Clifton Park, Bristol BS8 3BN, United Kingdom.

Country: Ireland

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MEDLINETA: Patient Educ Couns

REFSOURCE: Evid Based Nurs. 2007 Oct;10(4):127

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