When pharmacotherapeutic recommendations may lead to the reverse effect on physician decision-making
| Autor: | Timothy F. Chen, Abilio C. de Almeida Neto |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Medication review
Evidence-based practice Attitude of Health Personnel Decision Making Reactance Pharmacist Psychological intervention Pharmaceutical Science Physician Decision Pharmacy Continuing medical education Decision support systems Pharmacists Toxicology Professional Role Nursing Professional behavior change Physicians Humans Medicine Pharmacology (medical) Practice Patterns Physicians' Interventions Defense Mechanisms Pharmacology Evidence-Based Medicine business.industry General Medicine Evidence-based medicine Health psychology Physician Psychological reactance Practice Guidelines as Topic Psychological Theory business Research Article Medical literature |
| Zdroj: | Pharmacy World & Science |
| ISSN: | 1573-739X 0928-1231 |
| Popis: | For long the medical literature has shown that patients do not always receive appropriate care, including pharmacotherapeutic treatment. To achieve improved patient care, a number of physician-oriented interventions are being delivered internationally in an attempt to implement evidence based medicine in routine daily practice of medical practitioners. The pharmacy profession has taken an active role in the delivery of intervention strategies aimed at promoting evidence based prescribing and improved quality and safety of medicine use. However, the medical literature also supports the notion that valid clinical care recommendations do not always have the desired impact on physician behaviour. We argue that the well-established theory of psychological reactance might at least partially explain instances when physicians do not act upon such recommendations. Reactance theory suggests that when recommended to take a certain action, a motivational state compels us to react in a way that affirms our freedom to choose. Often we choose to do the opposite of what the recommendation is proposing that we do or we just become entrenched in our initial position. The basic concepts of psychological reactance are universal and likely to be applicable to the provision of recommendations to physicians. Making recommendations regarding clinical care, including pharmacotherapy, may carry with it implied threats, as it can be perceived as an attempt to restrict one's freedom of choice potentially generating reactance and efforts to avoid them. By identifying and taking into account factors likely to promote reactance, physician-oriented interventions could become more effective. |
| Databáze: | OpenAIRE |
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