| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 Department of General Practice and Primary Health Care, University of Auckland, New Zealand
2 Department of Family Medicine, Medical University of South Carolina, Charleston, SC
CORRESPONDING AUTHOR: Ngaire Kerse, PhD, MBChB Department of General Practice and Primary Health Care, Faculty of Medical and Health Sciences, University of Auckland Private Bag 92019, Auckland, New Zealand. n.kerse{at}auckland.ac.nz
PURPOSE We assessed the relationship between 4 attributes of the physician-patient relationship and medication compliance.
METHODS We conducted a waiting room survey of patients consulting 22 general practitioners in 14 randomly selected practices in Auckland, New Zealand (81% response rate). A total of 370 consecutive patients (75% response rate) completed survey instruments about 4 attributes of the physician-patient relationship. Continuity of care (assessed from use of a usual physician, length of continuity, and perceived importance of continuity) and trust in the physician were ascertained before the consultation. After the consultation the Patient Enablement Index measured the physician’s ability to enable patients in self-care, and concordance between the patient and physician was measured by a 6-item inventory of perceived agreement about the presenting problem and management, were ascertained immediately after the consultation. Compliance with prescribed medication therapy was ascertained by telephone follow-up 4 days after the consultation.
RESULTS Overall, 220 patients (61%) received a prescription, and 79% of these patients were taking the medication at follow-up. In a univariate analysis adjusted for clustering, only trust and physician-patient concordance were significantly related to compliance. In analysis further adjusted for health and demographic factors, physician-patient concordance was independently related to compliance (odds ratio = 1.34, 95% confidence interval, 1.04–1.72).
CONCLUSIONS Primary care consultations with higher levels of patient-reported physician-patient concordance were associated with one-third greater medication compliance. An emphasis on understanding and facilitating agreement between physician and patient may benefit outcomes in primary care.
Key Words: Physician-patient relations • primary health care • office visits • patient compliance • prescriptions, drug • drug therapy
This article has been cited by other articles:
|
|
 |
|
  E. C. Clark, J. Saultz, D. I. Buckley, R. Rdesinski, B. Goldberg, and J. M. Gill The Association of Family Continuity with Infant Health Service Use J Am Board Fam Med, September 1, 2008; 21(5): 385 - 391. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Kerse, M. Boyd, C. Mclean, J. Koziol-Mclain, and G. Robb The BRIGHT tool Age Ageing, September 1, 2008; 37(5): 553 - 588. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. M. Trief and R. A. Ellison Mandated Diabetes Registries Will Not Benefit Persons With Diabetes Arch Intern Med, April 28, 2008; 168(8): 799 - 802. [Full Text] [PDF]
|
|
|
|
 |
|
 L. L. Berry, J. T. Parish, R. Janakiraman, L. Ogburn-Russell, G. R. Couchman, W. L. Rayburn, and J. Grisel Patients' Commitment to Their Primary Physician and Why It Matters Ann. Fam. Med, January 1, 2008; 6(1): 6 - 13. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Wamala, J. Merlo, G. Bostrom, C. Hogstedt, and G. Agren Socioeconomic disadvantage and primary non-adherence with medication in Sweden Int. J. Qual. Health Care, June 1, 2007; 19(3): 134 - 140. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. H. Wroth and D. E. Pathman Primary Medication Adherence in a Rural Population: The Role of the Patient-Physician Relationship and Satisfaction with Care J Am Board Fam Med, September 1, 2006; 19(5): 478 - 486. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. C. Stange In this Issue: The Patient-Clinician Relationship and Practice-Based Network Research Ann. Fam. Med, September 1, 2004; 2(5): 386 - 387. [Full Text] [PDF]
|
|
|
|
|
|
M. Stewart Continuity, Care, and Commitment: The Course of Patient-Clinician Relationships Ann. Fam. Med, September 1, 2004; 2(5): 388 - 390. [Full Text] [PDF]
|
|
Read all TRACK Comments
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
