Table 2.
Duration of physician-patient discussions about new medications
| N | % of total | Mean time, in seconds (SD), when communication occurred | Range | Mean time, in seconds (SD), for all medications; n=234 | |
|---|---|---|---|---|---|
| Total visit length | 181 | 100 | 952 (434) | 283 – 2642 | N/A |
| Time spent discussing MCI components of individual new medications | 234 | 100 | 25.9 (27.8) | 0 – 210 | N/A |
| Time spent discussing all other aspects of individual new medications | 234 | 100 | 22.9 (25.2) | 0 – 147 | N/A |
| Physician communication about newmedications | |||||
| Cost / insurance issues | 22 | 9.4 | 14.9 (13.0) | 1.1 – 39 | 1.39 (5.78) |
| Side effects * | 88 | 37.6 | 12.6 (16.6) | 0.8 – 77 | 4.72 (11.8) |
| Purpose / justification for medication * | 189 | 80.8 | 12.4 (12.2) | 0.9 – 75 | 10.0 (12.0) |
| Directions for taking medications * | 178 | 76.1 | 11.1 (11.8) | 0.7 – 95 | 8.45 (11.4) |
| Medication interactions | 23 | 9.8 | 6.47 (6.02) | 1.0 – 28 | 0.64 (2.67) |
| Direct-to-consumer advertising | 1 | 0.4 | 10.65 (N/A) | N/A | 0.05 (0.70) |
| Adherence | 19 | 8.1 | 5.50 (5.83) | 1.5 – 27 | 0.45 (2.21) |
| Logistics of obtaining medications | 38 | 16.2 | 5.26 (6.34) | 0.8 – 26 | 0.85 (3.19) |
| Duration of medication use * | 61 | 26.1 | 4.57 (4.45) | 0.5 – 23 | 1.19 (3.02) |
| Prior history of use | 61 | 26.1 | 3.52 (2.76) | 0.7 – 13 | 0.92 (2.09) |
| Allergies | 19 | 8.1 | 3.47 (4.56) | 0.3 – 21 | 0.28 (1.58) |
| Medication refills | 13 | 5.6 | 3.15 (2.10) | 1.1 – 7.2 | 0.18 (0.87) |
| Medication supply | 22 | 9.4 | 2.85 (2.59) | 0.7 – 13 | 0.27 (1.14) |
| Safety | 16 | 6.8 | 2.50 (1.16) | 0.7 – 4.2 | 0.17 (0.70) |
| Patient-initiated statements and questions | |||||
| Patient request for medications | 27 | 11.5 | 8.72 (9.25) | 1.0 – 45 | 1.01 (4.17) |
| Direct-to-consumer advertising / internet | 6 | 2.6 | 7.04 (7.56) | 1.6 – 22 | 0.18 (1.57) |
| Resistance to starting medications | 14 | 6.0 | 6.34 (5.79) | 1.1 – 19 | 0.38 (2.03) |
| Cost / insurance issues | 10 | 4.3 | 6.25 (4.80) | 0.9 – 17 | 0.27 (1.58) |
| Medication supply | 5 | 2.1 | 6.20 (4.99) | 1.4 – 14 | 0.13 (1.11) |
| Medication interactions | 15 | 6.4 | 4.79 (3.38) | 1.2 – 12 | 0.31 (1.44) |
| Side effects | 26 | 11.1 | 4.70 (4.13) | 1.4 – 20 | 0.52 (2.01) |
| Logistics of obtaining medications | 23 | 9.8 | 3.91 (2.80) | 0.8 – 11 | 0.38 (1.45) |
| Directions for taking medications | 45 | 19.2 | 3.59 (3.01) | 0.6 – 13 | 0.69 (1.93) |
| Duration of medication use | 7 | 3.0 | 3.14 (2.90) | 0.9 – 7.4 | 0.09 (0.71) |
| Purpose / justification for medication | 19 | 8.1 | 2.75 (2.49) | 0.9 – 11 | 0.22 (1.02) |
| Medication refills | 2 | 0.8 | 1.82 (0.66) | 1.4 – 2.3 | 0.02 (0.17) |
*
Components of the MCI along with medication name