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Worlds apart? An exploration of prescribing and medicine-taking decisions by patients, GPs and local policy makers


  • Solomon, Josie
  • Knapp, Peter
  • Raynor, D.K.
  • Atkin, Karl


Current healthcare policy in the UK has been shaped by two major forces; increasing accountability to evidence-based standards and increasing patient involvement. Shared decision-making brings the patient into prescribing decisions, and guidelines introduce a third decision-maker, the policy maker, into the doctor–patient consultation. This study explored the decision-making processes used by patients and GPs in comparison to local policy makers.

Suggested Citation

  • Solomon, Josie & Knapp, Peter & Raynor, D.K. & Atkin, Karl, 2013. "Worlds apart? An exploration of prescribing and medicine-taking decisions by patients, GPs and local policy makers," Health Policy, Elsevier, vol. 112(3), pages 264-272.
  • Handle: RePEc:eee:hepoli:v:112:y:2013:i:3:p:264-272
    DOI: 10.1016/j.healthpol.2013.08.004

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    References listed on IDEAS

    1. Charles, Cathy & Gafni, Amiram & Whelan, Tim, 1997. "Shared decision-making in the medical encounter: What does it mean? (or it takes at least two to tango)," Social Science & Medicine, Elsevier, vol. 44(5), pages 681-692, March.
    2. Stevenson, Fiona A. & Barry, Christine A. & Britten, Nicky & Barber, Nick & Bradley, Colin P., 2000. "Doctor-patient communication about drugs: the evidence for shared decision making," Social Science & Medicine, Elsevier, vol. 50(6), pages 829-840, March.
    3. Perera, Roshan & Dowell, Anthony & Crampton, Peter, 2012. "Painting by numbers: A guide for systematically developing indicators of performance at any level of health care," Health Policy, Elsevier, vol. 108(1), pages 49-59.
    4. Rashidian, Arash & Eccles, Martin P. & Russell, Ian, 2008. "Falling on stony ground A qualitative study of implementation of clinical guidelines' prescribing recommendations in primary care," Health Policy, Elsevier, vol. 85(2), pages 148-161, February.
    5. Ong, L. M. L. & de Haes, J. C. J. M. & Hoos, A. M. & Lammes, F. B., 1995. "Doctor-patient communication: A review of the literature," Social Science & Medicine, Elsevier, vol. 40(7), pages 903-918, April.
    6. Frolich, Anne & Talavera, Jason A. & Broadhead, Peter & Dudley, R. Adams, 2007. "A behavioral model of clinician responses to incentives to improve quality," Health Policy, Elsevier, vol. 80(1), pages 179-193, January.
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