ArticlePatient education and counseling2008
How much time does it take to prescribe a new medication?
Article in Patient education and counseling, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- EHR-based medication support and nurse-led medication therapy management: rationale and design for a three-arm clinic randomized trial.Journal of the American Heart Association · 2013Trial
- Improving adherence to guideline-based lipid-lowering therapy in people with hyperlipidemia using a targeted educational outreach approach.Journal of managed care & specialty pharmacy · 2026Article
- Emotional barriers and facilitators of deprescribing for older adults with cancer and polypharmacy: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Association of Primary Care Visit Length With Potentially Inappropriate Prescribing.JAMA health forum · 2023Article
- Aspects of Medication and Patient participation-an Easy guideLine (AMPEL). A conversation guide increases patients' and physicians' satisfaction with prescription talks.Naunyn-Schmiedeberg's archives of pharmacology · 2021Article
- Primary care physician volume and quality of care for older adults with dementia: a retrospective cohort study.BMC family practice · 2021Article
- Statin prescription among patients with type 2 diabetes in Botswana: findings and implications.BMC endocrine disorders · 2020Article
- Review
- Prescribing issues in older adults living with HIV: thinking beyond drug-drug interactions with antiretroviral drugs.Therapeutic advances in drug safety · 2019Article
- Integration Strategies of Pharmacists in Primary Care-Based Accountable Care Organizations: A Report from the Accountable Care Organization Research Network, Services, and Education.Journal of managed care & specialty pharmacy · 2017Article
- Consumer satisfaction with National Alliance on Mental Illness written medicine information.The mental health clinician · 2017Article
- Integrating pharmacogenetic testing into primary care.Expert review of precision medicine and drug development · 2017Article
- Refining the Practice of Prescribing: Teaching Physician Learners How to Talk to Patients About a New Prescription.Journal of graduate medical education · 2014Article
- Understanding patients' perspective of statin therapy: can we design a better approach to the management of dyslipidaemia? A literature review.Singapore medical journal · 2014Review
- Factors influencing quality of patient interaction at community pharmacy drive-through and walk-in counselling areas.The International journal of pharmacy practice · 2014Article
- Practice characteristics and prior authorization costs: secondary analysis of data collected by SALT-Net in 9 central New York primary care practices.BMC health services research · 2014Article
- Non-adherence to medication in patients with psychotic disorders: epidemiology, contributing factors and management strategies.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2013Article
- Language barriers, location of care, and delays in follow-up of abnormal mammograms.Medical care · 2012Article
- Patient-physicians' information exchange in outpatient cardiac care: time for a heart to heart?Patient education and counseling · 2011Article
- Adverse drug events in U.S. adult ambulatory medical care.Health services research · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo measure the length of time spent discussing all aspects of new prescriptions and guideline-recommended aspects of counseling, and to evaluate factors associated with duration of discussion.
methodsWe analyzed tape recordings in which 181 patients received 234 new medication prescriptions from 16 family physicians, 18 internists, and 11 cardiologists in 2 healthcare systems in Sacramento, California between January and November 1999.
resultsOf the mean total visit time of 15.9min (S.D.=434s), a mean of 26s (S.D.=28s) was allocated to guideline-recommended components and a mean of 23s (S.D.=25s) was allocated to discussion of all other aspects of new prescription medications. The majority of time spent discussing individual new prescriptions was dedicated to: medication purpose or justification, directions and duration of use, and side effects. On average, more complete discussion of these components was associated with more time. More time was spent talking about guideline-recommended information if patients were in better health, if there was a third party in the room, and if the medication belonged to a psychiatric, compared to an ear, nose, throat medication class. Less time was spent discussing over-the-counter (OTC) medications and those prescribed to patients with a previous visit to the physician.
conclusionHigher quality information transmission between physicians and patients about new medications requires more time, and may be difficult to achieve in short office visits. PRACTICE IMPLICATIONS: Time-compressed office visits may need to be redesigned to promote improved provider-patient communication about new medications.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.