Re: Lay perspectives on hypertension and drug adherence: systematic review of qualitative research
6 August 2012
Lack of patients’ concordance may be a physician’s failure
Lain J Marshall, Charles D A Wolfe, and Christopher McKevitt systematic review results confirm the crucial importance of good communication and the essential role of physicians to inform/educate their patients.
Patients who actively decide to avoid their medications do that because they are unaware or not fully informed or convinced about the symptoms /lack of symptoms of the illness and the danger of non-concordance/ non-compliance. It is an uninformed decision.
It is the duty of the physician who knows to inform the patient who does not know. This is not a paternalistic approach; it is a professional duty, especially that perception of the medical facts is different between physicians and lay people.
If more time is spent to explain that hypertension (like many other disease entities) could be an asymptomatic silent killer, and a mutual decision is agreed to “comply”, the outcome would be totally different.
Competing interests: None declared
Russells Hall Hospital , Dudley, West Midlands, UK
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