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Managing medication and compliance: physician--pharmacist--patient interactions
Journal of the American Geriatrics Society
|November 1, 1982
Summary
Understanding patient and physician behavior is key to improving healthcare delivery and rational drug use. An instrumental approach and risk assessment tools can enhance treatment adherence and outcomes.
Area of Science:
- Behavioral Science in Healthcare
- Pharmacoeconomics
- Health Services Research
Background:
- Healthcare delivery and rational drug use are significantly influenced by the behaviors of both patients and healthcare practitioners.
- Understanding these behavioral dynamics is crucial for optimizing therapeutic outcomes and resource allocation.
Purpose of the Study:
- To analyze the impact of practitioner and patient behaviors on healthcare delivery and rational drug use.
- To propose an instrumental approach for patient interactions and drug selection.
- To identify methods for predicting and addressing patient non-adherence to treatment regimens.
Main Methods:
- Description of three behavioral modes: instrumental, customary, and command.
- Presentation of an "index of risk" to identify potential drug defaulters.
- Discussion of behavioral diagnosis clues for non-compliance.
Main Results:
- Most physicians currently adhere to a customary behavioral mode.
- An instrumental approach is recommended for enhanced patient engagement and drug selection.
- Insufficient patient education contributes to perceived non-compliance.
Conclusions:
- Adopting an instrumental approach in healthcare interactions and drug management can improve care delivery.
- Proactive identification of at-risk patients through behavioral diagnosis and risk indexing is essential.
- Addressing patient education deficits is critical for successful treatment adherence.