Evidence map›Paper›PMID 19644569›Full record

ArticleCommunication & medicine2008

Prescribing new medications: a taxonomy of physician-patient communication.

Derjung M Tarn, John Heritage, Debora A Paterniti, Ron D Hays, Richard L Kravitz, Neil S Wenger

Abstract read
In one paragraph

Article in Communication & medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Derjung M TarnDepartment of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90024-4142, USA. dtarn@mednet.ucla.edu
John Heritage
Debora A Paterniti
Ron D Hays
Richard L Kravitz
Neil S Wenger

Funding

UCLA OLDER AMERICANS INDEPENDENCE CENTERP30AG028748 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 2006 to 2017
$9.8M
MENTORED CLINICAL SCIENTIST DEVELOPMENT PROGRAMK12AG001004 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI REUBEN, DAVID B. · 2000 to 2009
$4.3M
DREW/UCLA Project Export CenterP20MD000148 · NIMHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHAPIRO, MARTIN F · 2002 to 2006
$3.6M
Improving Care for Comorbid Physical and Mental IllnessK24MH072756 · NIMH · UNIVERSITY OF CALIFORNIA DAVIS · PI KRAVITZ, RICHARD L · 2005 to 2009
$643k
NIA NIH HHS 5K12AG001004NIA NIH HHS K12 AG001004NIA NIH HHS P30 AG028748NIMHD NIH HHS P20 MD000148NIMH NIH HHS K24 MH072756
6 · The paper itself

Abstract

Physician-patient communication about new medications can influence patient medication adherence. Little is known about the detailed content of conversations about new medications, or about how physicians and patients word information when discussing new medications. Yet nuances in communication may influence patient comprehension and affect behaviour. A comprehensive coding framework delineating the intricacies of physician-patient discussions is needed to better understand the range of communication about new prescriptions. This study used analytic induction to analyse 185 audiotaped outpatient encounters, during which 243 new medications were prescribed by family physicians, internists and cardiologists in two healthcare settings. Seventy-six codes were developed to demonstrate the range of physician counselling about information concerning new prescriptions, such as medication name, purpose, directions for use, side effects, acquisition and monitoring. The conversational content represented by the codes can be used to understand the breadth of conversations regarding new medications, identify sources of potential patient misunderstandings when medication instructions are conveyed, and inform recommendations for desired communication content. The coding system also can be used to measure the quality of new medication discussions for linkage to outcomes and can inform interventions to improve communication when prescribing new drugs.

Indexed as

CommunicationMedication AdherencePhysician-Patient RelationsAdultCaliforniaClassificationFemaleHumansMaleMiddle AgedPsycholinguisticsQualitative Researchpharmaceuticalsphysician patient relationshipprescription medicationprovider patient communicationqualitative analysistaxonomy

Identifiers

PMID19644569
PMCPMC2717738

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.