Derjung M. Tarn|Ariela Wenger|Jeffrey S. Good|Marc Hoffing|Joseph E. Scherger|Neil S. Wenger
Do physicians communicate the adverse effects of medications that older patients want to hear?
University of California, Los Angeles|University of California, Los Angeles|Syracuse University|Desert Medical Imaging|Eisenhower Medical Center|University of California, Los Angeles
physicians routinely discuss adverse effects medications whether discussions match older patients desire information area explored study compares patient preferences adverse effect discussions reported physician practice crosssectional survey convenience sample 100 practicing primary care physicians nine medical groups 178 patients recruited 11 senior centers los angeles metropolitan area physicians listed adverse effects typically discuss prescribing ace inhibitor patients given hypothetical scenario new medication prescription list adverse effects asked circle three wanted hear 90 patients wanted physician discuss medication adverse effects wanted information dangerous 75 patients common 66 patients adverse effects however patients commonly chose hear adverse effects occurring 1 patients selected wide range adverse effects discussion physicians frequently reported educating patients adverse effects common lifethreatening patients wishing discuss additional adverse effects worried adverse effects wishing hear fewer 40 vs 34 5point likert scale p 002 studied medication little concordance medication adverse effects physicians say discuss patients want hear physicians cannot practically verbally satisfy patients information desires adverse effects new medications timecompressed office visits innovative solutions needed