Patients perceptions

Carder, P. C., Vuckovic, N. Green, C. A. (2003). Negotiating medications patient perceptions of long-term medication use. /. Clin. Pharm. Ther., 28, 409-17. 

Mainous, A.G, III, Houeston, W.J., and Rich, E.C. (1995) Patient perceptions of physician acceptance of gifts from the pharmaceutical industry. Arch Earn Med 4 335-339. 

Leszcz, M., Yalom, I.D., and Norden, M. (1985) The value of inpatient group psychotherapy patients perceptions. Int J Group Psychother 35 411-433. 

Hamer C, Cullum N, Roe B (1994) Patients perceptions of chronic leg ulcers. J Wound Care 3 99-101... 

Medico-technical instruments such as infusion pumps can be used in PCA (patient-controlled analgesia, Fig. 1) to provide patient-orientated and therapy as required, e.g. with morphine injection solutions. Depending on the patients perception of pain, they may add small doses of analgesics to the basic infusion by means of an electrically controlled infusion pump. The physician specifies the basic dose, which is infused independent of patient demands, the boluses that can be demanded, an hourly maximum dose and a refractory time that cannot be reduced between two doses. The infusion may be given intravenously, subcutaneously, epidurally or intraspinally. 

Holdford D, Schulz R. 1999. Effect of technical and functional quality on patient perceptions of pharmaceutical service quality Pharm Res 16 1344. 

Drug response is likely to be the result of a complex function of the influence of many genes interacting with environmental and behavioral factors. Whether PK-PD variability translates into clinically relevant differences in drug response depends on further issues including compliance, the availability of alternate drugs and doctor/patient perception of side-effects [10]. 

Why does it happen Either actual fear is manifested, or uncomfortable treatment methods are used, or both. Some of this is real, and some may be patient perception. 

An unblinded questionnaire survey has been carried out to determine patients perceptions of differences in the efficacy, adverse effects, and value of omeprazole versus lansoprazole for gastro-esophageal reflux disease maintenance therapy (5). The patients had been taking omeprazole for at least 2 months and then switched to lansoprazole for a minimum of 2 months. There was no significant difference between median symptom scores with the two drugs, but 64% of patients preferred omeprazole to lansoprazole. The most commonly reported adverse effects with both drugs were flatulence, headache, and diarrhea. Significantly more patients reported adverse effects with lansoprazole than with omeprazole. 

Leonard RH Jr. Efficacy, longevity, side effects, and patient perceptions of nightguard vital bleaching. Compend Contin Educ Dent 1998 19(8) 766-70, 772, 774. 

The method of patient recruiting, consenting, and blinding has been shown to influence patient beliefs and subsequent reporting of efficacy and safety of the medication. Means and type of vehicle delivery appear to affect patient perception of intervention strength, and adverse events.One study found that increased confidence in the manufacturer appeared to supplement relief obtained in both placebo and active medication groups. 

Klepser, T., Doucette, W., Horton, M., Buys, L., Ernst, M., Ford, J., Hoehns, J., Kautzman, H., Logemann, C., Swegle, J., Ritho, M., and Klepser, M. 2000. Assessment of patients perceptions and beliefs regarding herbal therapies. Pharmacotherapy 20, 83-87. 

Subsidies are given to all providers competing in a market. Under this scenario, patients have a choice of providers, and a level playing field is established. The competitive environment will create incentives to increase efficiency and improve patients perceptions of quality. There is no financial incentive to improve quality that cannot be perceived by potential patients. Thus, although competition creates an incentive to improve efficiency and patient-perceived quality, supply-side—but not demand-side—subsidies have a tendency to undermine this incentive, particularly if they are large in relation to total provider revenue. 

Fincke BG, Miller DR, Spiro A 3rd. The interaction of patient perception of overmedication with drug compUance and side effects. J Gen Intern Med 1998 13 182-185. 

Goldstein MG, Niaura R, Willey-Lessne C, et al. Physicians counseling smokers. A population-based survey of patients perceptions of health care provider-delivered smoking cessation interventions. Arch Intern Med 1997 157 1313-1319. 

Tolterodine LA was significantly superior to placebo and similar in elderly and young patient populations in reducing the frequencies of incontinence episodes and micturitions, increasing the volume voided per micturition and ability to complete tasks before voiding, and enhancing the patient perception of benefit. Adverse effect types and frequencies were also similar in the two age groups. ... 

The measurement of safety culture has now become a core component of patient safety and additional patient safety culture assessment instruments will be needed to accommodate organisational sehings that cover the continuum of care in multiple settings. It will also be necessaiy to examine differences, as well as similarities, in staff perceptions of patient safety culture across different settings of care. In addition, it is necessary to examine in these other healthcare settings the relationships between patient safety culture and patient perceptions of care, as well as clinical outcome measures, as has been done in the hospital setting. 

Muntlin, A., Gunningberg, L., Carlsson, M., Patients Perceptions of Quality of Care at an Emergency Department and Identification of Areas for Quality Improvement, Journal of Clinical Nursing, Vol. 15,2006, pp. 1045-1056. 

Wolosin, R. J., Vercler, L., Matthews, J. L., Am I Safe Here Improving Patients Perceptions of Safety in Hospitals, Journal of Nursing Care Quality, Vol. 21, No. 1,2005, pp. 30-38. 

Emani, S., Yamin, C.K., Bates, D.W. (2012). Patient perceptions of a personal health record A test of the diffusion of innovation model. Journal Medical Internet Research, 14(6), p. el50. 

There are two intravenous spasmolytics available for CT colonography hyoscine butylbromide and glucagon hydrochloride. Both produce hypotonia in smooth muscle within the colonic wall and are used widely to improve distension during double contrast barium enema. However, while both agents have been shown to improve patient perception during barium enema, only hyoscine butylbromide reliably improves distension (Goei et al. 1995 Bova et al. 1993). As a result, it is widely utilized for barium enema across Eimope (hyoscine butylbromide is not licensed for use in the USA). 

Gluecker T, Johnson D, Harmsen W et al. (2003) Colorectal cancer screening with CT colonography, colonoscopy, and double contrast barium enema examination prospective assessment of patient perceptions and preferences. Radiology 227 378-384... 

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