Patient perspectives on having multiple versus single prescribers of chronic disease medications: results of a qualitative study in a veteran population.

Published online

Journal Article

BACKGROUND: Patients with multiple chronic conditions often have multiple prescribers, which has been associated with greater health care utilization and medication nonadherence in claims-based analyses. This qualitative study was conducted to understand the reasons why patients have increasing numbers of prescribers of medications and to understand patient perspectives on advantages and disadvantages of having multiple prescribers, including effects on medication supply. METHODS: This qualitative study involved three focus groups comprising 23 outpatients from a single Veterans Affairs (VA) Medical Center with at least one chronic cardiometabolic condition (hypertension, diabetes, dyslipidemia, or congestive heart failure). Participants were asked about their experiences, including perceived of advantages and disadvantages, of having multiple prescribers of cardiometabolic medications. Conventional content analysis was used to analyze the data. RESULTS: Multiple prescribers arose through referrals and patients actively seeking non-VA prescribers (primary care and/or specialist) to maximize timeliness and access to medications, provide access to medications not on the VA formulary, and minimize out-of-pocket costs. Patients seeking non-VA care had to coordinate own their care by sharing prescriptions and test results to their prescribers within and outside VA. CONCLUSIONS: Prescribing physicians should engage in open dialogue with patients to create a shared understanding of patient and provider goals and priorities for chronic disease medications.

Full Text

Duke Authors

Cited Authors

  • Voils, CI; Sleath, B; Maciejewski, ML

Published Date

  • October 25, 2014

Published In

Volume / Issue

  • 14 /

Start / End Page

  • 490 -

PubMed ID

  • 25344128

Pubmed Central ID

  • 25344128

Electronic International Standard Serial Number (EISSN)

  • 1472-6963

Digital Object Identifier (DOI)

  • 10.1186/s12913-014-0490-8


  • eng

Conference Location

  • England