How do doctors address heart failure patients' disclosures of medication adherence problems during hospital and primary care consultations? An exploratory interaction-based observational cohort study.

ABSTRACT:

Objectives

To investigate how doctors and self-managing older patients with heart failure (HF) discuss the patients' potential or ongoing medication adherence problems, and how such discussions evolve as patients transition from hospital to home, with particular focus on: (1) doctors' communicative actions aimed at addressing patient disclosures of adherence problems and (2) patients' feedback indicating whether their doctor's supportive actions were acceptable to them.

Design

Exploratory interaction-based observational cohort study. Inductive microanalysis of authentic patient-doctor consultations, audio recorded for each patient at: (1) first ward visit in hospital, (2) discharge visit from hospital and (3) follow-up visit with general practitioner (GP).

Setting

Hos

SUBMITTER: Frigaard C 

PROVIDER: S-EPMC11997827 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature