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Medication decision-making and management: A client-centered model

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  • Chewning, Betty
  • Sleath, Betsy

Abstract

Although the traditional medical model dominates how 'provider-patient' roles are viewed, research has documented that client medication behavior strongly influences health outcomes, health care utilization, and ultimately health care costs. This paper explores the position that medication management outcomes can be improved by adopting more client-centered approaches. To examine the implications of a client-centered relationship this paper reviews research regarding client involvement in: (1) identifying treatment goals; (2) choosing from regimen options; (3) monitoring symptoms and evaluating regimens; and (4) self care with nonprescription pharmaceutical products. Based on this literature review, a collaborative client-centered model of medication consultation is examined, and implications for health care provider roles and public policy in pharmaceutical care are discussed.

Suggested Citation

  • Chewning, Betty & Sleath, Betsy, 1996. "Medication decision-making and management: A client-centered model," Social Science & Medicine, Elsevier, vol. 42(3), pages 389-398, February.
  • Handle: RePEc:eee:socmed:v:42:y:1996:i:3:p:389-398
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    Citations

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    Cited by:

    1. Joy A Duxbury & Karen Margaret Wright & Anna Hart & Diane Bradley & Pamela Roach & Neil Harris & Bernie Carter, 2010. "A structured observation of the interaction between nurses and patients during the administration of medication in an acute mental health unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(17‐18), pages 2481-2492, September.
    2. Denis Klimanov & Ekaterina Frolkina, 2015. "The Impact of CRM System Use on Companies’ Customer Understanding: The Case of the Russian Ophthalmology Market," Tržište/Market, Faculty of Economics and Business, University of Zagreb, vol. 27(1), pages 75-92.
    3. Tineke Schoot & Ireen Proot & Ruud Ter Meulen & Luc de Witte, 2005. "Actual Interaction and Client Centeredness in Home Care," Clinical Nursing Research, , vol. 14(4), pages 370-393, November.
    4. Tineke Schoot & Ireen Proot & Marja Legius & Ruud ter Meulen & Luc de Witte, 2006. "Client-Centered Home Care," Clinical Nursing Research, , vol. 15(4), pages 231-254, November.
    5. Mary K. Anthony & Diane Hudson-Barr, 2004. "A Patient-Centered Model of Care for Hospital Discharge," Clinical Nursing Research, , vol. 13(2), pages 117-136, May.
    6. Young-Sun Lee & Jeffrey Douglas & Betty Chewning, 2007. "Techniques For Developing Health Quality of Life Scales for Point of Service Use," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 83(2), pages 331-350, September.

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