A qualitative study of medication-taking behaviour in primary care

摘要: BACKGROUND Prescribed medication is a mainstay of primary care but it clear that large proportion treatment not taken correctly. Such 'non-compliance' considered to be major problem, research date has provided few solutions. There have been increasing calls for change in approach order gain deeper understanding why the problem remains and new ways addressing it. OBJECTIVES We aimed investigate how adult patients perceived medication-taking using Grounded Theory methodology. METHOD Fifty general practice without current mental health or recreational drug abuse problems were interviewed at home flexible interview schedule. Subjects' accounts taking prescribed treatments verified where possible by tablet counts case-record review, six interviews being excluded as unreliable. Medication use was discussed 159 which 34 reportedly directed. RESULTS The analysis presented model decision making suggests that: (i) knowledge (about disease treatment) combined with faith doctor produces motivation start medicines; (ii) most test medicine before accepting fully; (iii) three types user exist: those who (a) passively accept advice, i.e. try take they perceive wants them to, (b) actively medicines, decide want (c) reject altogether; (iv) process closely linked illness; (v) practical are late obstacle only play small part process. CONCLUSIONS These concepts organized within comprehensive decision-making process, reference other theories use. Researchers clinicians must move beyond compliance when assessing trying improve Making medication-testing explicit proposed one way assisting better.