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Provider-patient communication about prescription drug abuse: A qualitative analysis of the perspective of prescribers.
Mathis, Stephanie M; Hagaman, Angela; Hagemeier, Nicholas; Baker, Katie; Pack, Robert P.
Afiliación
  • Mathis SM; Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, Tennessee, USA.
  • Hagaman A; Center for Prescription Drug Abuse Prevention and Treatment, East Tennessee State University, Johnson City, Tennessee, USA.
  • Hagemeier N; College of Public Health, East Tennessee State University, Johnson City, Tennessee, USA.
  • Baker K; Center for Prescription Drug Abuse Prevention and Treatment, East Tennessee State University, Johnson City, Tennessee, USA.
  • Pack RP; Department of Pharmacy Practice, Bill Gatton College of Pharmacy, East Tennessee State University, Johnson City, Tennessee, USA.
Subst Abus ; 41(1): 121-131, 2020.
Article en En | MEDLINE | ID: mdl-31403901
Background: Provider-patient communication underpins many initiatives aimed at reducing the public health burden associated with prescription drug abuse in the United States. The purpose of this qualitative analysis was to examine the characteristics of provider-patient communication about prescription drug abuse from the perspective of prescribers. Methods: From 2014 to 2015, 10 semi-structured interviews were conducted with a purposive sample of prescribers from multiple professions and medical fields in Central and South Central Appalachia. The interviews were conducted using a guide informed by Social Cognitive Theory and community theory research, audio-recorded, and transcribed verbatim. Thematic analysis, facilitated by NVivo 10 software, was used to generate themes. Results: Prescribers described 3 primary communication patterns with patients related to prescription drug abuse-informative, counteractive, and supportive. Prescribers also reported multiple factors-personal (e.g., education, experiences, and feelings of tension) and environmental (e.g., relationship with a patient, clinical resources, and policies on controlled prescription drugs)-that affect provider-patient communication and, by association, delivery of patient care related to prescription drug abuse. Conclusions: The findings suggest that provider-patient communication about prescription drug abuse is multidimensional and dynamic, characterized by multiple communication patterns and contributory factors. They have implications for (1) research aimed at advancing theoretical understanding of prescriber prescription drug abuse communication behaviors with patients and (2) interventions aimed at strengthening prescriber prescription drug abuse communication behaviors with patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Pautas de la Práctica en Medicina / Educación del Paciente como Asunto / Comunicación / Trastornos Relacionados con Sustancias / Analgésicos Opioides Tipo de estudio: Prognostic_studies / Qualitative_research Idioma: En Revista: Subst Abus Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Pautas de la Práctica en Medicina / Educación del Paciente como Asunto / Comunicación / Trastornos Relacionados con Sustancias / Analgésicos Opioides Tipo de estudio: Prognostic_studies / Qualitative_research Idioma: En Revista: Subst Abus Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos