Non adherence to medication and doctor patient relationship in china

non adherence to medication and doctor patient relationship in china

Medication adherence and the physician-patient relationship the association between medication nonadherence and disease activity should. Stavropoulou, C. (). Non-adherence to medication and doctor-patient relationship: Evidence from a European survey. Patient Education and Counseling. Why is trust important in physician-patient relationships? Medication nonadherence by patients is a serious dilemma that is not easily resolved. Chinese Americans may prefer traditional treatments and herbal medications.

City Research Online

Introduction Medicine plays an essential role in chronic disease management. However, it is recognised that only half of patients with chronic diseases take their medicines as prescribed. To obtain full benefit from treatment, patients need to adhere to these complex medicine regimens in order to control their disease and maintain health.

Many patients doubted their personal need for the treatment or harboured concerns and these beliefs are associated with non-adherence.

non adherence to medication and doctor patient relationship in china

It is possible that this may translate into scepticism about prescribed medicines and non-adherence. The aim of this study was to understand beliefs about medicines in Chinese patients with stroke, diabetes mellitus and RA and to investigate whether these beliefs are associated with medicine non-adherence.

Methods A cross-sectional study was conducted in two large teaching hospitals in China between January and November The study was approved by the local research ethics committees. Some patients may have comorbidity. However, they were only included for the condition they were hospitalised or the condition from the specific outpatient clinics.

non adherence to medication and doctor patient relationship in china

They were asked to complete a questionnaire which took approximately 10—15 min. Study information was given to patients and verbal consent was obtained before they started to fill in the questionnaire. All invited patients returned their questionnaires.

Non-adherence to medication and doctor-patient relationship: Evidence from a European survey.

Since there is a lack of research on beliefs about medicines and medicine non-adherence in China, a target sample size of patients for each condition was chosen based on typical sample sizes used in similar surveys. A recent meta-analysis showed that small—moderate effect of psychological beliefs on medicine adherence was observed in 94 studies with an average sample size of Demographic information included name, age, gender, education, occupation and duration of the condition.

The BMQ questionnaire has two parts: The details of the BMQ questionnaire can be found in a previous publication. BMQ-General used three subscales: Perceived Sensitivity to Medicines PSM scale contained five items assessing perceptions of personal susceptibility to the effects of medicines. For BMQ-Specific, patients were only asked for the treatment prescribed for the diagnosed condition in the past 12 months. They make 11 pharmacy visits to fill 23 prescriptions for 12 separate medications written by four different doctors.

The cost of drugs is another major factor.

non adherence to medication and doctor patient relationship in china

People are less likely to take their medications when they have to pay more for them. Unlicensed Hong Kong drugstores putting public at risk with misleading advice, pharmacists warn These practical barriers, while significant, are more straightforward than deeper psychological ones.

non adherence to medication and doctor patient relationship in china

No one wants to dwell on their illness, but with each pill we ask patients to swallow, we also ask for tacit acceptance of this fact, over and over, day after day. For some patients, taking medications creates an aversive sense of dependency, a sense of lost agency and control. Others have intrinsically negative views of medications — understandable given the myriad side effects, lawsuits and anecdotes.

Non-adherence to medication and doctor-patient relationship: Evidence from a European survey.

And all these issues are more challenging with preventive medications than therapeutic ones. We tend to discount the future benefits of treatment, especially if we feel fine at the time: Hong Kong pharmacists seek bigger role over prescription of drugs Helping patients understand their illnesses and adhere to treatment has always been a professional responsibility of doctors.

  • Why the drugs don’t work: non-adherence to medication

Hospitals and clinics are also investing in technologies and initiatives to help patients take their medications: But physicians must also do a better job of explaining why, when and how patients should take medications. One study found that doctors spend less than a minute discussing new medications they prescribe.

non adherence to medication and doctor patient relationship in china

Another found that they fail to discuss the side effects of medications or how long they should be taken about two-thirds of the time. In a quarter of new prescriptions, physicians never state the name of the medication.