Communication: Good communication between healthcare professionals and patients is needed for involvement of patients in decisions about medicines and for supporting adherence. Some patients may find it easier to communicate with their doctors.
5.Ask patients open-ended questions because these are more likely to uncover patients’ concerns.
6.Be aware that the consultation skills needed for increasing patient involvement can be improved.
Increasing patient involvement:
Patient involvement in the decision-making process requires that healthcare professionals acknowledge patients’ views about their condition and its treatment, and that both healthcare professional and patient have a role in making decisions about treatment. Simple interventions to increase patient involvement do not necessarily increase the overall length of consultation and may be justified by benefits, particularly over the course of a long˗term condition.
15.Accept that the patient has the right to decide not to take a medicine, even if you do not agree with the decision, as long as the patient has the capacity to make an informed decision and has been provided with the information needed to make such a decision.
Understanding the patient’s knowledge, beliefs and concerns about medicines:
There is evidence that patients make decisions about medicines based on their understanding of their condition and the possible treatments, their view of their own need for the medicine and their concerns about the medicine.
19.Be aware that patients’ concerns about medicines, and whether they believe they need them, affect how and whether they take their prescribed medicines.
Patients need information about their condition and possible treatments if they are to be involved in making informed decisions about medicines. The format and content of the information provided should meet the needs of individual patients.
26.Check that patients have any information they wish about medicines when the medicines are dispensed.
27.Discuss information on medicines with the patient rather than just presenting it. The discussion should take into account what the patient understands and believes about the condition and treatment.
28.Do not assume that the patient information leaflets (PILs) that patients receive with their medicines will meet each patient’s needs. Address concerns that patients may have after reading the standard PILs.
29.Patients differ in the type and amount of information they need and want. Therefore the provision of information should be individualized and is likely to include, but not be limited to:
30.Be careful not to make assumptions about a patient’s ability to understand the information provided. Check with the patient that they have understood the information. Information for patients should be clear and logical and, if possible, tailored to the needs of the individual patient.