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Non‐initiation of prescribed medication from a Spanish health professionals' perspective: A qualitative exploration based on Grounded Theory
We explore, from the perspective of primary care health professionals, the motivations that lead patients to not initiate prescribed treatments, by developing a qualitative study in Spanish primary care. Six focus groups (N = 46) were conducted with general practitioners, nurse practitioners, social...
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| Published in: | Health & social care in the community 2022-01, Vol.30 (1), p.e213-e221 |
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| container_issue | 1 |
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| container_title | Health & social care in the community |
| container_volume | 30 |
| creator | Peñarrubia‐María, Maria Teresa Gil‐Girbau, Montserrat Gallardo‐González, Mari Carmen Aznar‐Lou, Ignacio Serrano‐Blanco, Antoni Mendive Arbeloa, Juan Manuel Garcia‐Cardenas, Victoria Sánchez‐Viñas, Alba Rubio‐Valera, Maria |
| description | We explore, from the perspective of primary care health professionals, the motivations that lead patients to not initiate prescribed treatments, by developing a qualitative study in Spanish primary care. Six focus groups (N = 46) were conducted with general practitioners, nurse practitioners, social workers and community pharmacists and carried out in primary care (PC) of Barcelona Province, from April to July of 2018. The 46 participants were identified by three general practitioners and two pharmacists. In the interviews, the reasons for non‐initiation of PC patients' medication were explored. Triangulated content analysis was performed. Patients' perspective, analysed in a previous study, and professionals' perspective agree on most of the factors that affect non‐initiation. New factors were categorized into existent categories, confirming, and supplementing the model developed with patients. Health professionals identified some new factors which were not present in the patients' discourse, such as stigma related to the drug, hidden reasons for consultation, the role of nurses in prescription and support, the role of the pharmacy technician, illiteracy and lack of social support. The professionals confirm and expand on the Theoretical Model of Medication Non‐Initiation. Primary care professionals should consider the factors described when prescribing a new medication. Knowledge contributed by the model should guide the design of interventions to improve initiation. |
| doi_str_mv | 10.1111/hsc.13431 |
| format | article |
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Six focus groups (N = 46) were conducted with general practitioners, nurse practitioners, social workers and community pharmacists and carried out in primary care (PC) of Barcelona Province, from April to July of 2018. The 46 participants were identified by three general practitioners and two pharmacists. In the interviews, the reasons for non‐initiation of PC patients' medication were explored. Triangulated content analysis was performed. Patients' perspective, analysed in a previous study, and professionals' perspective agree on most of the factors that affect non‐initiation. New factors were categorized into existent categories, confirming, and supplementing the model developed with patients. Health professionals identified some new factors which were not present in the patients' discourse, such as stigma related to the drug, hidden reasons for consultation, the role of nurses in prescription and support, the role of the pharmacy technician, illiteracy and lack of social support. The professionals confirm and expand on the Theoretical Model of Medication Non‐Initiation. Primary care professionals should consider the factors described when prescribing a new medication. 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The professionals confirm and expand on the Theoretical Model of Medication Non‐Initiation. Primary care professionals should consider the factors described when prescribing a new medication. 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Six focus groups (N = 46) were conducted with general practitioners, nurse practitioners, social workers and community pharmacists and carried out in primary care (PC) of Barcelona Province, from April to July of 2018. The 46 participants were identified by three general practitioners and two pharmacists. In the interviews, the reasons for non‐initiation of PC patients' medication were explored. Triangulated content analysis was performed. Patients' perspective, analysed in a previous study, and professionals' perspective agree on most of the factors that affect non‐initiation. New factors were categorized into existent categories, confirming, and supplementing the model developed with patients. Health professionals identified some new factors which were not present in the patients' discourse, such as stigma related to the drug, hidden reasons for consultation, the role of nurses in prescription and support, the role of the pharmacy technician, illiteracy and lack of social support. The professionals confirm and expand on the Theoretical Model of Medication Non‐Initiation. Primary care professionals should consider the factors described when prescribing a new medication. Knowledge contributed by the model should guide the design of interventions to improve initiation.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>34080746</pmid><doi>10.1111/hsc.13431</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6780-5968</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Health & social care in the community, 2022-01, Vol.30 (1), p.e213-e221 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley; Sociological Abstracts |
| subjects | Clinical decision making Community pharmacists Content analysis Drug stores Drugs Family physicians General Practitioners Grounded Theory Health care Health services Humans Illiteracy Medical personnel medication adherence Motivation Nurse led services Nurse practitioners Nurses Patient compliance Patients Pharmacists Pharmacy Physicians Prescribing Primary care Primary groups primary health care Qualitative Research shared decision making Social support Social workers Stigma Treatment methods |
| title | Non‐initiation of prescribed medication from a Spanish health professionals' perspective: A qualitative exploration based on Grounded Theory |
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