Journal of American Pharmacists Association

May-June 2012, Vol. 52, No. 3 >

Research

Patient desire to be involved in medication treatment decisions

Suzan N. Kucukarslan, PhD; Leslie A. Shimp, PharmD, MS; Nancy J. W. Lewis, PharmD, MPH; Caroline A. Gaither, PhD; Duane M. Kirking, PharmD, PhD

J Am Pharm Assoc. 2012;52:333-341. doi:10.1331/JAPhA.2012.10201

Article

References

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Abstract

Objectives To identify unmet needs of patients taking medications for chronic health conditions and identify medication-related services that patients with chronic health conditions would desire.

Design Descriptive, exploratory, nonexperimental study.

Setting Large midwestern state in spring 2010.

Participants 465 patients 45 years or older taking one or more prescriptions for chronic health problems.

Intervention Cross-sectional survey.

Main outcome measures Patient-reported usefulness of, satisfaction with, and intention to use medication-related services.

Results Respondents wanted to be highly involved in treatment decisions but found medication information they received to be moderately useful and satisfactory. Medication-related services fell into three groups based on reported intention to use: therapy advice, cost advice, and medication organization. Desire to be involved in treatment decisions was a key factor in predicting reported intention to use therapy advice and cost advice services. The perceived affordability of medications was another important factor in patients' intention to use cost advice and medication organization services. Age, chronic conditions, number of prescription drugs, and the cost of therapy were not important in predicting the intention to use medication-related services in this population.

Conclusion Patient desire to be involved in treatment decisions was a key factor in explaining intention to use medication-related services. Identifying individuals with desire for involvement in treatment decisions may increase medication therapy management (MTM) participation. Strategies to provide personalized MTM services to these individuals should be developed and evaluated.

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