Physician patient relationship and medication compliance aids

physician patient relationship and medication compliance aids

Doctor-patient relationship, Patient involvement, Medication adherence, of the doctor-patient relationship and adherence behaviors among HIV-infected. Physician-Patient Relationships, Patient Satisfaction, and Antiretroviral Medication Adherence Among. HIV-Infected Adults Attending a Public Health Clinic. compliance with medical advice, doctor–patient relationship, trust, satisfaction. DOI: /emj ated with taking medication, adherence to recom - mended diet, or other .. cation adherence in HIV-positive adults. Health beliefs .

Because a minority of participants were taking PI regimens and therefore were not queried on proportion of PI doses taken in the past week, their scores on the summary measure could range from 0 to 3, with 0 meaning they were adherent on none of the measures and 3 indicating perfectly adherent by all of the measures. For those taking PI regimens, scores could range from 0 to 4, with 4 indicating adherence on all four measures. Participants also indicated whether they had undergone various types of drug abuse treatment.

SMRxT Develops New Technology to Improve Medication Compliance

The short form also has good sensitivity, specificity, and predictive validity Kessler et al. Procedures The study utilized procedures that protected vulnerable human subjects and that were approved by the Institutional Review Board.

Patients attending the infectious diseases clinic were approached in the waiting room by a research assistant and asked to participate in the study. Patients were also invited to participate via hospital flyers and personal recruitment by clinic staff. Patients were provided with information about the study and were scheduled to meet with a research assistant at their convenience, typically around their other scheduled hospital appointments.

The assessment required between 2 and 3 hr.

Patient–Clinician Relationships and Treatment System Effects on HIV Medication Adherence

Participants were offered frequent breaks and snacks in addition to transportation vouchers and compensation. Although the procedures were rather long, participants did not seem bothered by the inconvenience, and some referred others for screening. Research assistants helped patients read and understand the survey items if necessary.

physician patient relationship and medication compliance aids

Interviewers were trained to develop a good rapport with the participant, ask all questions neutrally and nonjudgmentally, and correct inconsistencies that arose over the course of the interview before proceeding. Data Analyses Means, standard deviations, and frequencies were used to describe continuous and discrete demographic, mental disorder, substance use, and adherence characteristics of the sample. In Study 1, long survivors were significantly higher on active patient involvement than the normal course HIV controls.

Findings highlight the relevance of patient involvement in their care to important health outcomes. Interventions designed to help patients become more active in their care throughout the illness trajectory might positively affect medication-taking behaviors and survival. API offers an easy and quickly-administered tool to assess patient involvement within the context of both research and practice. Person-centered care has emerged as a new organizing framework for medical practice, and the quality of the doctor-patient relationship represents an important driving force in that new comprehensive approach to care [ 12 ].

As the significance of the doctor-patient relationship is reiterated and recommendations are formally integrated into medical guidelines for healthcare professionals, there is an increasing need to carefully assess the quality of that relationship and further examine its impact on patient- and health-related outcomes [ 2 ].

The choice of an assessment tool should be carefully informed by the conceptualization of the construct [ 3 ] or by its proposed relevance to outcomes of interest and the settings in which the assessment is conducted —whether in the context of clinical practice or research.

physician patient relationship and medication compliance aids

Many measurement instruments have emerged to quantify the doctor-patient relationship, thus echoing the multidimensionality of this construct, as emphasized in a recent review by Eveleigh et al. Considering the range of assessment measures and conceptual models developed to date, no single measure of doctor-patient concordance is likely to reflect all relevant components of the relationship.

In fact, it is thought to be at the core of the doctor-patient relationship and a critical component of modern quality care [ 14 ]. This relationship is also thought to be associated with important health-related outcomes. For instance, a collaborative doctor-patient relationship has previously been emphasized as critical to adherence in medical patients [ 5 ]. Thus, the questionnaire examined in the present study first aims at providing an efficient instrument that can be used among patients with a chronic illness, whereby medication adherence is paramount to treatment success and survival.

HIV is one such illness.

Patient–Clinician Relationships and Treatment System Effects on HIV Medication Adherence

Twenty-two outpatient HIV practices in a metropolitan area. For adherence dialogue, patients rated their physician at understanding and solving problems with antiretroviral therapy regimens. In addition, our data suggest that it is critical to investigate and incorporate patients' belief systems about antiretroviral therapy into adherence discussions, and to identify and treat mental disorders.

Two of these studies were conducted among a sample of prisoners, 1011 and thus have limited generalizability. The other four studies were done among diverse populations using a variety of methods, and did not find relationships between measures of physician-patient relationships and adherence.

physician patient relationship and medication compliance aids

Because accumulating evidence indicates that physicians' behaviors can be improved through training, 16 — 26 targeting those specific aspects of the physician-patient relationship linked with greater adherence can serve to focus targeted, effective interventions.

To understand how the quality of various aspects or dimensions of provider-patient relationships is related to medication adherence in HIV disease, we surveyed a large and diverse sample of HIV-infected individuals cared for in 22 different providers' offices in Boston. We asked patients to report on the quality of their relationship with their primary HIV provider using 7 multi-item scales that assess distinct aspects of the physician-patient relationship likely to improve adherence with antiretroviral therapy.

physician patient relationship and medication compliance aids

Nurse practitioners were included when they cared for patients without direct physician oversight. To develop this comprehensive sample, we contacted academic teaching hospitals, city hospitals, state hospitals, community hospitals, community health centers, university health services, a large staff model health maintenance organization HMOand private practices.

Using this approach we identified providers physicians and 3 nurse practitioners. All patients in participating providers' practices who providers believed had normal cognitive function and could read English were eligible. At 9 sites patients were asked to participate through their physicians' office.

Of 1, invited patients, Of these participants, All study protocols were approved by Institutional Review Boards at each of the study sites. Data Collection Data on adherence, interpersonal care, and sociodemographic characteristics were collected by patient surveys done between January and December Viral loads and CD4 counts were determined by medical record review.