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Cited by 868Medication Adherence and CompliancePatient-Provider Communication in HealthcarePharmacy and Medical Practices

The DOI matches its Crossref record; 68 of the 69 references it cites were found in a registry or an index.

Resisting medicines: a synthesis of qualitative studies of medicine taking

Pound, Pandora, Britten, Nicky, Morgan, Myfanwy, Yardley, Lucy, Pope, Catherine, Daker-White, Gavin, Campbell, Rona·2005·Social Science & Medicine
DOI 10.1016/j.socscimed.2004.11.063
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Abstract

The study aimed to synthesise qualitative studies of lay experiences of medicine taking. Most studies focused on the experience of those not taking their medicine as prescribed, with few considering those who reject their medicines or accept them uncritically. Most were concerned with medicines for chronic illnesses. The synthesis revealed widespread caution about taking medicines and highlighted the lay practice of testing medicines, mainly for adverse effects. Some concerns about medicines cannot be resolved by lay evaluation, however, including worries about dependence, tolerance and addiction, the potential harm from taking medicines on a long-term basis and the possibility of medicines masking other symptoms. Additionally, in some cases medicines had a significant impact on identity, presenting problems of disclosure and stigma. People were found to accept their medicines either passively or actively, or to reject them. Some were coerced into taking medicines. Active accepters might modify their regimens by taking medicines symptomatically or strategically, or by adjusting doses to minimise unwanted consequences, or to make the regimen more acceptable. Many modifications appeared to reflect a desire to minimise the intake of medicines and this was echoed in some peoples' use of non-pharmacological treatments to either supplant or supplement their medicines. Few discussed regimen changes with their doctors. We conclude that the main reason why people do not take their medicines as prescribed is not because of failings in patients, doctors or systems, but because of concerns about the medicines themselves. On the whole, the findings point to considerable reluctance to take medicine and a preference to take as little as possible. We argue that peoples' resistance to medicine taking needs to be recognised and that the focus should be on developing ways of making medicines safe, as well as identifying and evaluating the treatments that people often choose in preference to medicines.

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Research works printed but not linked: 2

  1. Ernst, 2000, Prevalence of use of complementary/alternative medicine, Bulletin of the World Health Organisation, 78, 252
  2. Halkitis, 1999, Self-strategies as means of enhancing adherence to HIV antiretroviral therapies, Journal of the New York State Nurses Association, 30, 22

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Metadata

Authors
Pound, P., Britten, N., Morgan, M., Yardley, L., Pope, C., Daker-White, G., & Campbell, R.
Affiliations
  • University of Bristol (GB)
  • University of Exeter (GB)
  • University of Southampton (GB)
Corresponding author
Campbell, Rona
ORCID
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
2005-07
Volume
61
Issue
1
Pages
133-155
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/j.socscimed.2004.11.063
OpenAlex
W2103844098
Cited by
868
References
69
Citations by year
2026: 9 · 2025: 11 · 2024: 22 · 2023: 39 · 2022: 9 · 2021: 45 · 2020: 30 · 2019: 69 · 2018: 37 · 2017: 56 · 2016: 51 · 2015: 47 · 2014: 71 · 2013: 56 · 2012: 48
FWCI
31.17
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • Bristol Research (University of Bristol) (submittedVersion)
Topics
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Health Professions › Pharmacy › Pharmacy and Medical Practices
Keywords
non-compliance, chronic disease, adverse drug reactions, symptom masking, non-pharmacological treatment, patient-physician communication, drug safety
MeSH terms
Adult, Aged, Pharmaceutical Preparations, Evaluation Studies as Topic, Female, United Kingdom, Humans, Male, Middle Aged, Patient Compliance, Self Administration, Treatment Refusal, Drug-Related Side Effects and Adverse Reactions

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