BMJ  2003;327:819 (11 October), doi:10.1136/bmj.327.7419.819

Editorial

Prescribing and taking medicines

Concordance is a fine theory but is mostly not being practised

The first 150 words of the full text of this article appear below.

About half of the medicines prescribed for people with chronic conditions are not taken.¹ This is assumed to have large personal, economic, and societal costs,² but are patients really any worse off for not taking their medicines as prescribed? Doctors say that not taking drugs means poorer health outcomes, but patients argue that only they can know what works for them and what doesn't. Bridging the gap between the agendas of patients and doctors changed the emphasis from the authoritarian concept of compliance to the more inclusive concept of concordance. Concordance means shared decision making and arriving at an agreement that respects the wishes and beliefs of the patient. What it should not be is a more gift wrapped version of compliance.³

The concordant model of shared understanding and prescribing should improve health outcomes. Why then has it proved so hard to put into practice? One problem is that most . . . [Full text of this article]

BMJ (gjones@bmj.com)

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Rapid Responses:

Read all Rapid Responses

No concordance on concordance

Douglas E Ball
bmj.com, 10 Oct 2003 [Full text]

Concordance and....NLP

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COMPLIANCE ENHANCED BY DRUG INDICATION ON EVERY REPEAT SCRIPT.

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