Evidence map›Paper›PMID 37940158›Full record

ArticleBMJ open2023

Perceptions of conflicting information about long-term medications: a qualitative in-depth interview study of patients with chronic diseases in the Swiss ambulatory care system.

Beatriz Santos, Katherine S Blondon, Marie Sottas, Delesha Carpenter, Claudine Backes, Elisabeth Van Gessel, Marie P Schneider

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Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. Article
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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

7 authors.

Beatriz SantosSchool of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.ORCID 0000-0002-3701-4583
Katherine S BlondonFaculty of Medicine, Unit of Development and Research in Medical Education (UDREM), University of Geneva, Geneva, Switzerland.ORCID 0000-0002-9407-8516
Marie SottasSchool of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.
Delesha CarpenterDepartment of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina, USA.ORCID 0000-0003-2025-8140
Claudine BackesSchool of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.
Elisabeth Van GesselInterprofessional Simulation Center, University of Geneva, Geneva, Switzerland.
Marie P SchneiderSchool of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland marie.schneider@unige.ch.ORCID 0000-0002-7557-9278

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatients with multiple long-term conditions visit various healthcare professionals and are exposed to medication information from various sources causing an increased risk of patients perceiving contradictory medication information. The aims of this study are to: (1) characterise conflicting medication information perceived by patients with long-term conditions, (2) better understand the related impact on patients' medication self-management and healthcare system navigation and (3) explore ways in which such events could be prevented.

designThis study was conducted through qualitative semistructured interviews. Data were analysed using thematic analysis.

settingCommunity pharmacies and medical centres in Geneva, Switzerland.

participantsThis study included outpatients from April 2019 to February 2020. Patients were included after participating in a quantitative survey of perceived conflicting information about medications for long-term diseases.

methodsSemistructured audiotaped interviews of 20 to 60 min following a pre-established interview guide to explore participants' perceptions of conflicting information. Interviews were transcribed verbatim, and a thematic analysis was conducted with inductive and deductive coding using MAXQDA (2018, Release 18.2.3).

resultsTwenty-two patients were interviewed, until data saturation, mentioning indication or need for a medication as the main topic of conflicting information between two healthcare professionals. Perceived conflicting information often resulted from insufficient information provided and poor communication leading to confusion, doubts and medication non-adherence. Patients expected more information and more interprofessional communication on their medications. As a result of conflicting information, most participants learnt or were learning to take an active role and become partners of the healthcare providers.

conclusionThe need to strengthen and improve communication and interprofessional collaborative practice among healthcare professionals and with the patient is emerging to increase the quality and consistency of information about medications, and consequently, to ensure better use and experience of medications.

Indexed as

Ambulatory CareChronic DiseaseHumansQualitative ResearchSurveys and QuestionnairesSwitzerlandChronic DiseaseGENERAL MEDICINE (see Internal Medicine)PatientsPRIMARY CAREQUALITATIVE RESEARCH

Identifiers

PMID37940158
PMCPMC10632873

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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.