Gordon K, Smith F, Dhillon S. Patient Education and Counselling. Effective chronic disease management: Patients’ perspectives on medication-related problems 2007; 65(3): 407-415
1. Description of study
With an estimated frequency of 2.5 to 65% of medication related problems in healthcare, a realist, qualitative interview study explored medicine use perceptions of patients with chronic illnesses. Aiming to identify approaches to support patients manage their medication, patients with a cardiovascular disease and receiving cardiovascular medicine prescriptions were selected using purposive sampling from five medical surgeries and four community pharmacies in south London. Patients aged 18 and over were identified through computerised records as they visited the surgery. In the pharmacies, patients were identified as they presented prescriptions for cardiovascular disease. A screening interview was undertaken to identify patients who experienced medication related problems, those with at least one medication related problem were invited for a home interview alongside participants without medication related problems. Open questions and the detailed nature of home interviews enabled documentation of problems encountered. The interviewer explored the utilization of medicines, incorporation into their daily activities, and any concerns. Data was collected in a total of 98 face-to-face interviews.
Descriptive statistics, Chi-square and Mann-Whitney tests were used to obtain quantitative data characterizing participants in relation to encountered medication related problems. A p-value of <0.05 highlighted statistical significance. Audio recording and transcribed verbatim was used, ensuring all applicable information was gathered. This enabled a qualitative analysis dependent upon participants' own statements instead of interviewer interpretations. The emergence of themes was made possible by using an inductive methodology. Utilizing the information gathered, a coding structure which reflected the participants’ portrayals of problems...