Evidence map›Paper›PMID 36328391›Full record

Observational studyBMJ open2022

Communication about medication management during patient-physician consultations in primary care: a participant observation study.

Igor Adelsjö, Lina Nilsson, Amanda Hellström, Mirjam Ekstedt, Elin Christina Lehnbom

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. 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. Article
  2. Article
  3. Article
  4. Implementation of pharmacotherapy monitoring: Experiences and views of medicine users.Exploratory research in clinical and social pharmacy · 2023
    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

5 authors.

Igor AdelsjöDepartment of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Kalmar, Sweden igor.adelsjo@lnu.se.ORCID 0000-0001-9780-7959
Lina NilssoneHealth Institute, Department of Medicine and Optometry, Linnaeus University Faculty of Health and Life Sciences, Kalmar, Sweden.ORCID 0000-0003-2074-3584
Amanda HellströmDepartment of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Kalmar, Sweden.ORCID 0000-0001-8398-9552
Mirjam EkstedtDepartment of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Kalmar, Sweden.ORCID 0000-0002-4108-391X
Elin Christina LehnbomDepartment of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Kalmar, Sweden.ORCID 0000-0003-1428-5476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore communication about medication management during annual consultations in primary care.

designpassive participant observations of primary care consultations.

settingTwo primary care centres in southern Sweden.

participantsConsultations between 18 patients (over the age of 60 years) with chronic diseases and 10 general practitioners (GPs) were observed, audio-recorded, transcribed and analysed using content analysis.

resultsFour categories emerged: communication barriers, striving for a shared understanding of medication management, evaluation of the current medication treatment and the plan ahead and behavioural changes in relation to medication management. Misunderstandings in communication, failure to report changes in the medication treatment and use of generic substitutes complicated mutual understanding and agreement on continued treatment. The need for behavioural changes to reduce the need for medication treatment was recognised but should be explored further.

conclusionSeveral pitfalls, including miscommunication and inaccurate medication lists, for safe medication management were identified. The purpose of annual consultations should be clarified, individual treatment plans could be used more actively during primary care consultations and efforts are needed to improve verbal communication and information continuity.

Indexed as

General PractitionersMedication Therapy ManagementCommunicationHumansMiddle AgedPhysician-Patient RelationsPrimary Health CareReferral and Consultationhealth & safetyprimary carequality in health care

Identifiers

PMID36328391
PMCPMC9639081

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.