LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Townsend, Anne; Hunt, Kate; Wyke, Sally (2003)
Publisher: BMJ Publishing Group Ltd.
Languages: English
Types: Article
Subjects: RM, Papers
OBJECTIVE: To examine attitudes towards drug use among middle aged respondents with high levels of chronic morbidity. DESIGN: Qualitative study with detailed interviews. SETTING: West of Scotland. PARTICIPANTS: 23 men and women aged about 50 years with four or more chronic illnesses. MAIN OUTCOME MEASURE: Participants' feelings about long term use of drugs to manage chronic multiple morbidity. RESULTS: Drugs occupied a central place in the way people managed their comorbidities. Respondents expressed an aversion to taking drugs, despite acknowledging that they depended on drugs to live as "normal" a life as possible. Respondents expressed ambivalence to their drugs in various ways. Firstly, they adopted both regular and more flexible regimens and might adhere to a regular regimen in treating one condition (such as hypertension) while adopting a flexible regimen in relation to others, in response to their experience of symptoms or varying demands of their daily life. Secondly, they expressed reluctance to take drugs, but an inability to be free of them. Thirdly, drugs both facilitated performance of social roles and served as evidence of an inability to perform such roles. CONCLUSIONS: Insight into the considerable tension experienced by people managing complex drug regimens to manage multiple chronic illness may help medical carers to support self care practices among patients and to optimise concordance in their use of prescribed drugs.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 2 Marinker M, Shaw J. Not to be taken as directed. Putting concordance for taking medicines into practice. BMJ 2003;326:348-9.
    • 3 Britten N. Lay views of drugs and medicines: orthodox and unorthodox accounts. In: Williams SJ, Calnan M, eds. Modern medicine. Lay perspectives and experiences. London: UCL Press, 1996:48-73.
    • 4 Conrad P. The meaning of medications: another look at compliance. Soc Sci Med 1985;20:29-37.
    • 5 Donovan JL, Blake DR. Patient non-compliance: deviance or reasoned decision-making? Soc Sci Med 1992;34:507-13.
    • 6 Morgan M. Perceptions and use of anti-hypertensive drugs among cultural groups. In: Williams SJ, Calnan M, eds. Modern medicine. Lay perspectives and experiences. London: UCL Press, 1996:95-116.
    • 7 Rogers A, Day JC, Williams B, Randall F, Wood P, Healy D, et al. The meaning and management of neuroleptic medication: a study of patients with a diagnosis of schizophrenia. Soc Sci Med 1998;47:1313-23.
    • 8 Benson J, Britten N. Patients' decisions about whether or not to take antihypertensive drugs. BMJ 2002;325:873-6.
    • 9 Britten N. Patients' ideas about medicines: a qualitative study in a general practice population. Br J Gen Pract 1994;44:465-8.
    • 10 Britten N, Jones R, Murphy E, Stacy R. Qualitative research methods in general practice and primary care. Fam Pract 1995;12:104-14.
    • 11 Britten N, Stevenson F, Barry C, Barber N, Bradley C. Misunderstandings in prescribing decisions in general practice: qualitative study. BMJ 2000;320:484-8.
    • 12 Britten N, Ukoumunne OC, Boulton MG. Patients' attitudes to medicines and expectations for prescriptions. Health Expect 2002;5:256-69.
    • 13 Starfield B. New paradigms for quality in primary care. Br J Gen Pract 2001;51:303-9.
    • 14 Macintyre S, Annandale E, Ecob R, Ford G, Hunt K, Jamieson B, et al. The West of Scotland twenty-07 study: health in the community. In: Martin CJ, McQueen DV, eds. Readings for a new public health. Edinburgh: Edinburgh University Press, 1989:56-74.
    • 15 Ford G, Ecob R, Hunt K, Macintyre S, West P. Patterns of class inequality in health through the lifespan: class gradients at 15, 35 and 55 years in the West of Scotland. Soc Sci Med 1994;39:1037-50.
    • 16 Macintyre S, Ford G, Hunt K. Do women 'over-report' morbidity? Men's and women's responses to structured prompting on a standard question about chronic illness. Soc Sci Med 1999;48:89-98.
    • 17 Office for National Statistics. Living in Britain. Results from the 1998 general household survey. London: Government Statistical Group, 2000.
    • 18 Hunt K, Wyke S, Walker J. Beyond the burden on illness? What factors predict general practitioner consultations? [abstract]. J Epidemiol Community Health 2000;54:786.
    • 19 Wyke S, Hunt K, Walker J, Wilson P. Frequent attendance, socio-economic status and burden or health. An investigation in the West of Scotland. Eur J Gen Pract 2003;9:48-55.
    • 20 Strauss A, Corbin J. Basics of qualitative research: techniques and procedures for developing grounded theory. London: Sage, 1998.
    • 21 Van der Geest S, Whyte SR. The charm of medicines: metaphors and metonyms. Med Anthropol Q 1989;3:345-67.
    • 22 Royal Pharmaceutical Society of Great Britain. From compliance to concordance. Achieving shared goals in medicine taking. London: RPSGB, 1997.
    • 23 Department of Health. The expert patient: a new approach to chronic disease management for the 21st century. London: DoH, 2001.
    • (Accepted 1 September 2003)
    • 1 Horne R, Weinman J, Hankins M. The beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation. Psychol Health 1999;14:1-24.
    • 2 Haynes RB, Montague P, Oliver T, McKibbon KA, Brouwers MC, Kanani R. Interventions for helping patients to follow prescriptions for medications. Cochrane Database Syst Rev 2000;(2):CD000011.
    • 3 Britten N. Concordance and compliance. In: Jones R, Britten N, Culpepper L, Gass D, Grol R, Mant D, et al, eds. Oxford textbook of primary medical care. Oxford: Oxford University Press (in press).
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article