Misperceptions of patients vs providers regarding medication-related communication issues

Am J Manag Care. 2007 Nov;13(11):613-8.


Objectives: To test the hypothesis that there is little concordance in perceptions of medication-related communication between patients and providers, with providers estimating greater frequency of such discussions than patients; and to determine whether discordance is less apparent among patients who received e-prescriptions.

Study design: Data are from a convenience sample of 96 providers practicing in 6 states and 1100 of their patients. Twenty-nine practices used e-prescribing, and 3 practices were initiating e-prescribing.

Methods: Patients' and providers' perceptions regarding discussions with their providers or patients regarding medication costs, adherence, and potential adverse effects were collected by survey.

Results: Relative to patients, providers estimated more frequent discussions of medication issues with patients. Most patients (83%) reported that they would never tell their physician if they did not plan on picking up a prescription. Patients receiving electronic prescriptions were more likely than patients with paper prescriptions (54% vs 43%) to report that their provider always checks the accuracy of their medication list.

Conclusion: Although e-prescribing may not change the extent to which patients and physicians discuss medication issues, patients of e-prescribing providers more frequently report provider verification of medication lists.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Communication*
  • Drug Prescriptions*
  • Drug Therapy / methods*
  • Female
  • Health Care Surveys
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Medical History Taking
  • Middle Aged
  • Perception*
  • Physician-Patient Relations*
  • Pilot Projects
  • Telemedicine*
  • United States