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Related Experiment Videos

Medication problems among outpatients. A study with emphasis on the elderly.

L E Klein, P S German, D M Levine

    Archives of Internal Medicine
    |June 1, 1984
    PubMed
    Summary

    Many patients link adverse symptoms to medications, but rarely modify treatment. Older adults reported fewer medication-related symptoms, and many patients do not discuss these issues with healthcare providers.

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    Area of Science:

    • Pharmacovigilance
    • Patient-reported outcomes
    • Clinical pharmacy

    Background:

    • Patient-provider communication regarding adverse drug events is crucial for safe medication use.
    • Understanding patient perceptions of medication side effects is essential for effective healthcare.

    Purpose of the Study:

    • To determine the frequency with which medical outpatients associate adverse symptoms with their medications.
    • To identify patient actions taken in response to perceived medication-related symptoms.

    Main Methods:

    • A cross-sectional study involving interviews with 299 randomly selected medical outpatients.
    • Data collected on patient attribution of symptoms to medications and subsequent actions.
    • Multiple regression analysis used to support findings on medication regimen modification.

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    Main Results:

    • 30% of outpatients linked at least one adverse symptom to their medications.
    • Older patients (≥65 years) reported fewer medication-related adverse symptoms compared to younger patients.
    • Medication regimen modification was infrequent; approximately 25% of patients did not discuss symptoms with providers.

    Conclusions:

    • Patient attribution of symptoms to medications is common, impacting healthcare interactions.
    • Underreporting and lack of communication regarding adverse symptoms, especially in the elderly, pose challenges.
    • Interventions to improve patient-provider communication about medication side effects are warranted.