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Medication decision-making and management: a client-centered model

B Chewning1, B Sleath

  • 1Sonderegger Research Center, School of Pharmacy, University of Wisconsin, Madison 53706, USA.

Social Science & Medicine (1982)
|February 1, 1996
PubMed
Summary

Improving patient medication adherence and health outcomes requires a shift towards client-centered care. Empowering patients in treatment goals, options, and self-care enhances medication management and reduces healthcare costs.

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Area of Science:

  • Health Services Research
  • Pharmaceutical Policy
  • Patient-Centered Care

Background:

  • The traditional provider-patient dynamic often overlooks the significant impact of patient medication behavior on health outcomes, healthcare utilization, and costs.
  • Client medication adherence is a critical determinant of treatment success and overall healthcare expenditure.

Purpose of the Study:

  • To explore the benefits of client-centered approaches in improving medication management outcomes.
  • To review existing research on patient involvement in various aspects of their pharmaceutical care.

Main Methods:

  • Literature review examining client engagement in goal identification, treatment option selection, symptom monitoring, and self-care with nonprescription products.
  • Analysis of a collaborative, client-centered model for medication consultation.

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Main Results:

  • Client involvement in treatment goal setting, regimen choice, symptom monitoring, and self-care positively impacts medication management.
  • A client-centered model enhances patient engagement and potentially improves health outcomes and cost-effectiveness.

Conclusions:

  • Adopting client-centered strategies in pharmaceutical care can significantly improve medication management.
  • Revising healthcare provider roles and public policy to support collaborative medication consultation is recommended.