Medication decision-making and adherence in lupus: patient-physician discordance and the impact of previous 'adverse medical experiences'.

ABSTRACT:

Objectives

Medication adherence is critical in the successful management of lupus. There is very limited existing literature on reasons why non-adherence is not reported. This study explores the impact of current and previous medical experiences on patient satisfaction, adherence and reporting of non-adherence.

Methods

Mixed methodology involved thematic analysis of in-depth interviews (n = 23) to further explore the statistically analysed quantitative survey findings (n = 186).

Results

This study identified five themes: (i) physician-patient discordance and a 'hierarchy of evidence' in medication decisions; (ii) the association of adherence with satisfaction with care; (iii) the persisting impact of past adverse medical experiences (AMEs); (iv) the dynamic balance of

SUBMITTER: Sloan M 

PROVIDER: S-EPMC8996780 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature