Frequency of doctors’ addressing actions and patients’ feedback
| Topic of patients’ adherence problem disclosure | Patients’ actions | Doctors’ communicative actions in response to patients’ dislosures | Patients’ actions | ||
| Visits with problems disclosed | Addressed | Addressed by exploring further* | Addressed by providing supportive actions† | Signalled unacceptability to adherence support‡ | |
| First ward visit (n=18) | |||||
| Healthcare systems-related barrier | 0 | n/a | n/a | n/a | n/a |
| Limited ability to organise intake of medications in use | 3 | 2 | 2 | 1 | 1 |
| Limited ability to recall or recognise medications in use | 7 | 6 | 6 | 6 | 3 |
| Negative stance to medications | 2 | 1 | 1 | 1 | 1 |
| Negative experience with medications | 6 | 2 | 1 | 2 | 2 |
| Concerns or worries about medications | 0 | n/a | n/a | n/a | n/a |
| Discharge visit (n=16) | |||||
| Healthcare systems-related barrier | 0 | n/a | n/a | n/a | n/a |
| Limited ability to organise intake of medications in use | 3 | 3 | 2 | 3 | 1 |
| Limited ability to recall or recognise medications in use | 2 | 2 | 0 | 2 | 0 |
| Negative stance to medications | 5 | 2 | 1 | 2 | 2 |
| Negative experience with medications | 5 | 4 | 2 | 4 | 2 |
| Concerns or worries about medications | 1 | 1 | 1 | 1 | 0 |
| Follow-up visit with GP (n=48) | |||||
| Healthcare systems-related barrier | 4 | 4 | 4 | 4 | 0 |
| Limited ability to organise intake of medications in use | 6 | 5 | 4 | 5 | 3 |
| Limited ability to recall or recognise medications in use | 6 | 6 | 3 | 6 | 2 |
| Negative stance to medications | 7 | 6 | 5 | 5 | 2 |
| Negative experience with medications | 18 | 16 | 11 | 16 | 4 |
| Concerns or worries about medications | 7 | 5 | 1 | 5 | 1 |
| Overall | 82 |
65 of 82
(79%) |
44 of 65
(68%) |
63 of 65
(97%) |
24 of 65
(37%) |
| Subanalysis for the 12 patients who disclosed the same problem in more than one consultation | |||||
| Limited ability to organise intake of medications in use | 7 | 7 | 6 | 6 | 3 |
| Limited ability to recall or recognise medications in use | 7 | 7 | 5 | 7 | 2 |
| Negative stance to medications | 7 | 6 | 5 | 6 | 5 |
| Negative experience with medications | 16 | 10 | 7 | 10 | 4 |
*Doctor exploring the scope of the problem further.
†Doctor providing verbal or written supportive actions to improve patient’s ability or motivation to adhere.
‡Patient utterance including information signalling doctors’ adherence supportive action was against their own preferences or indicating it was unlikely to change their situation in the foreseeable future.