BMJ  2003;327:840 (11 October), doi:10.1136/bmj.327.7419.840

Commentary

Does a prescribed treatment match a patient's priorities?

Nicky Britten, professor1

1 Institute of Clinical Education, Peninsula Medical School, Universities of Exeter and Plymouth, St Luke's Campus, Exeter EX1 2LU nicky.britten@pms.ac.uk

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

Within the past 10 years several studies carried out in different settings have investigated patients' perceptions of prescribed drugs. Most of these studies have been qualitative and relatively small scale. They have all revealed considerable ambivalence about drug taking. This study by Townsend and colleagues confirms the validity of these findings for a community based sample of middle aged people in Scotland with multiple morbidities and provides a rich description of the different aspects of this ambivalence. Most prescribed drugs are taken by elderly people with chronic conditions.

This study also helps to explain quantitative research that has identified core beliefs about the perceived necessity of taking prescribed drugs as well as concerns about potential harms.1 It shows the futility of labelling patients as "compliers" or "non-compliers," as the same person may take one drug regularly while altering the dose or frequency of another. The paper shows the ambiguous yet . . . [Full text of this article]


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