Abstract
BACKGROUND. Little attention has been paid to patients' ideas about medicines and such ideas might well have relevance for understanding non-adherence to medication. AIM. This qualitative study set out to describe the ideas about medicines and the self-reported adherence to medication of a general practice population. METHOD. Semistructured interviews were conducted with 30 adult patients (attenders and non-attenders) from two general practices. RESULTS. The main themes emerging from the analysis were: perceived properties of medicines; orientation towards medicines, that is, patients' general preference for taking or not taking medication; and actual usage of medicines. The data revealed that on the one hand much medicine taking was taken for granted and on the other hand that patients had many fears and powerful negative images of medicines. CONCLUSION. Any assessment of the appropriateness of a proposed treatment for an individual patient should include an exploration of his or her preferences, orientation towards medicines and social context.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Britten N., Fisher B. Qualitative research and general practice. Br J Gen Pract. 1993 Jul;43(372):270–271. [PMC free article] [PubMed] [Google Scholar]
- Conrad P. The meaning of medications: another look at compliance. Soc Sci Med. 1985;20(1):29–37. doi: 10.1016/0277-9536(85)90308-9. [DOI] [PubMed] [Google Scholar]
- Donovan J. L., Blake D. R. Patient non-compliance: deviance or reasoned decision-making? Soc Sci Med. 1992 Mar;34(5):507–513. doi: 10.1016/0277-9536(92)90206-6. [DOI] [PubMed] [Google Scholar]
- Helman C. G. 'Tonic', 'fuel' and 'food': social and symbolic aspects of the long-term use of psychotropic drugs. Soc Sci Med B. 1981 Oct;15(4):521–533. doi: 10.1016/0160-7987(81)90026-0. [DOI] [PubMed] [Google Scholar]
- Jones D. R. Drugs and prescribing: what the patient thinks. J R Coll Gen Pract. 1979 Jul;29(204):417–419. [PMC free article] [PubMed] [Google Scholar]
- Verbeek-Heida P. M. How patients look at drug therapy: consequences for therapy negotiations in medical consultations. Fam Pract. 1993 Sep;10(3):326–329. doi: 10.1093/fampra/10.3.326. [DOI] [PubMed] [Google Scholar]
- Virji A., Britten N. A study of the relationship between patients' attitudes and doctors' prescribing. Fam Pract. 1991 Dec;8(4):314–319. doi: 10.1093/fampra/8.4.314. [DOI] [PubMed] [Google Scholar]