10.25376/hra.6724589.v1
Annalee Johnson-Kwochka
Annalee
Johnson-Kwochka
Elizabeth Carpenter-Song
Elizabeth
Carpenter-Song
Ida Griesemer
Ida
Griesemer
Cara Nikolajski
Cara
Nikolajski
Nancy Parrotta
Nancy
Parrotta
Kim L. MacDonald-Wilson
Kim L.
MacDonald-Wilson
Johnson-Kwochka_First Person Perspectives.pdf
Health Research Alliance
2018
Qualitative interviews
comparative effectiveness trial
medication management
community mental health center
Decision Making
2018-06-29 18:34:42
Journal contribution
https://hra.figshare.com/articles/journal_contribution/Johnson-Kwochka_First_Person_Perspectives_pdf/6724589
<p>Objective: Because of changes in health care, there is a</p>
<p>greater focus on brief medication management visits as the</p>
<p>primary method of providing psychiatric care in community</p>
<p>mental health settings. Research on the first-person perspectives</p>
<p>of service users and prescribers in these settings is</p>
<p>limited. The objective of this study was to describe firstperson</p>
<p>perspectives on medication management visits and</p>
<p>the service user–prescriber relationship.</p>
<p>Methods: Researchers conducted qualitative interviews as</p>
<p>part of a larger comparative effectiveness trial at 15 community</p>
<p>mental health centers, researchers interviewed service users</p>
<p>(N=44) and prescribers (N=25) about their perspectives on the</p>
<p>typical elements of a medication management visit and asked</p>
<p>service users about their relationship with their prescriber.</p>
<p>Results: Both service users and prescribers described</p>
<p>medication management visits as very brief encounters</p>
<p>focused on medication and symptoms. Most service users</p>
<p>reflected on the service user–prescriber relationship in positive</p>
<p>or neutral terms; they did not describe the development</p>
<p>of a strong therapeutic relationship or a meaningful clinical</p>
<p>encounter with prescribing clinicians.</p>
<p>Conclusions: Service users described the service user–</p>
<p>prescriber relationship and medication management visit</p>
<p>as largely transactional. Despite the transactional nature of</p>
<p>these encounters, most service users described relationships</p>
<p>with prescribing clinicians in positive or neutral terms.</p>
<p>Their satisfaction with the visit did not necessarily mean</p>
<p>that they were receiving high-quality care. Satisfactionmay</p>
<p>instead suggest service users’ disengagement from care.</p>
<p>They may need more support to fully participate in their</p>
<p>own care.</p>